Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD00024076 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD00024076 | WA |
NPI | 1679663538 |
---|---|
Provider Name | Wayne Cecil Levy |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 11/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1301829 | (05) | WA |
6873 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
E36895 | (02) |