Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD8542 | DC |
N | 111NI0900X | Internist | MD8542 | DC |
Y | 207RI0200X | Infectious Disease | D57332 | MD |
NPI | 1023183977 |
---|---|
Provider Name | Dr. Charles S Levy |
First Address | Rockville, MD 20852-4908 |
Second Address | Washington, DC 20002-8100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 08/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C87818 | (02) |