| Doctor Name: | DR. KURT J LEITHAUSER |
| NPI Number: | 1043207608 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D36972 |
| Business Practice Address: | 20410 Observation Dr Suite 104 Germantown, MD - 208764000 |
| Business Phone Number: | 3019485700 |
| Business Fax Number: | 3012124277 |
| Mailing Address: | 20410 Observation Dr, Suite 104 GERMANTOWN |
| State: | MD |
| Postal Code: | 208764000 |
| Phone Number: | 3019485700 |
| Fax Number: | 3012124277 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 07/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | D36972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |