Provider Demographics
NPI:1003074931
Name:BEST BANDENAY, LEYLA ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:LEYLA
Middle Name:ALEXANDRA
Last Name:BEST BANDENAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 PLEASANT ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1423
Mailing Address - Country:US
Mailing Address - Phone:515-241-4200
Mailing Address - Fax:515-241-4048
Practice Address - Street 1:1221 PLEASANT ST
Practice Address - Street 2:STE 300
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1423
Practice Address - Country:US
Practice Address - Phone:515-241-4200
Practice Address - Fax:515-241-4083
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10030383390200000X
IL12224261390200000X
IA37847207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1003074931Medicaid
IA1003074931Medicaid