Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35-061886 | OH |
NPI | 1073533766 |
---|---|
Provider Name | Nathan N Levitan |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 29/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224355 | UNISON (01) | OH |
000000539585 | ANTHEM (01) | OH |
0643901 | AETNA (01) | OH |
0869725 | (05) | OH |
363765 | WELLCARE (01) | OH |
741828 | BUCKEYE (01) | OH |
830003681 | RAILROAD MEDICARE (01) | OH |
A57812 | (02) |