Provider Demographics
NPI:1265644686
Name:LEVI, L. DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:L.
Middle Name:DAVID
Last Name:LEVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 F ST NW
Mailing Address - Street 2:SUITE 502
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2715
Mailing Address - Country:US
Mailing Address - Phone:202-293-9138
Mailing Address - Fax:301-320-4062
Practice Address - Street 1:2112 F ST NW
Practice Address - Street 2:SUITE 502
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2715
Practice Address - Country:US
Practice Address - Phone:202-293-9138
Practice Address - Fax:301-320-4062
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC046512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
E13393Medicare UPIN
007320Medicare ID - Type Unspecified