Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D48261 | MD |
Y | 111NI0900X | Internist | D48261 | MD |
N | 207SG0201X | Clinical Genetics (M.D.) | D48261 | MD |
NPI | 1306880711 |
---|---|
Provider Name | Howard Levy |
First Address | Baltimore, MD 21264-4264 |
Second Address | Lutherville, MD 21093-4535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 13/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
090802900 | (05) | MD |
G45627 | (02) | MD |