NPI
Shantil Leak
NPI 1215520796
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2021-02-16
- Last updated
- 2021-02-16
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 3503 Fernandez Dr Temple Hills
- City
- Maryland MD
- Postal code
- 20748
- Phone
- (202) 569-1554
Medicare
Medicare enrollment (PECOS) was not checked for this NPI on this load. The Medicare enrollment lookup checks it directly. This page does not decide enrollment.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Maryland, MD. 5 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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