Provider Demographics
NPI:1053484915
Name:WALKER, LEVI (MD)
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N WHITFIELD ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3039
Mailing Address - Country:US
Mailing Address - Phone:412-363-5200
Mailing Address - Fax:412-363-5263
Practice Address - Street 1:211 N WHITFIELD ST
Practice Address - Street 2:SUITE 710
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-363-5200
Practice Address - Fax:412-363-5263
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036284E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA146476OtherHIGHMARK BLUE SHIELD
PA5783337OtherCIGNA
PA17501OtherHEALTHAMERICA
PA101461OtherUPMC
PA0010909150001Medicaid
PA17501OtherHEALTHAMERICA
PA146476Medicare ID - Type Unspecified