| Doctor Name: | DR. LESLIE BADRA MASIKY |
| NPI Number: | 1730382979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | D0066098 |
| Business Practice Address: | 2301 Research Blvd Suite 201 Rockville, MD - 208503204 |
| Business Phone Number: | 3015696301 |
| Business Fax Number: | 3015696415 |
| Mailing Address: | 11850 W Market Pl Ste P, Suite #210 FULTON |
| State: | MD |
| Postal Code: | 207592671 |
| Phone Number: | 3013408339 |
| Fax Number: | 2404855407 |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | D0066098 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |