Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | DR.0054444 | CO |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD047601 | DC |
NPI | 1235193301 |
---|---|
Provider Name | Michael G Levien |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 01/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2040704 | (05) | OH |
B07500 | (02) | OH |