Provider Demographics
NPI:1215007323
Name:BANGIYEV, LEV (DO)
Entity Type:Individual
Prefix:DR
First Name:LEV
Middle Name:
Last Name:BANGIYEV
Suffix:
Gender:M
Credentials:DO
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:STONY BROOK UNIV DEP OF RADL
Mailing Address - Street 2:HSC LEVEL 4 ROOM 120
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8460
Mailing Address - Country:US
Mailing Address - Phone:631-444-7901
Mailing Address - Fax:
Practice Address - Street 1:STONY BROOK UNIV DEP OF RADL
Practice Address - Street 2:HSC LEVEL 4 ROOM 120
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8460
Practice Address - Country:US
Practice Address - Phone:631-444-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2652062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology