Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | D18379 | MD |
NPI | 1437152584 |
---|---|
Provider Name | Dr. Hubert Leveque |
First Address | Olney, MD 20832-1504 |
Second Address | Olney, MD 20832-1504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0763-0002 | BCBS DC (01) | DC |
1370866-011 | CIGNA (01) | |
22131 | UNITED HEALTH/MAMSI (01) | MD |
416863-01 | CAREFIRST BCBS (01) | MD |
458918 | AETNA (01) | |
B92972 | (02) | MD |