Provider Demographics
NPI:1437152584
Name:LEVEQUE, HUBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:
Last Name:LEVEQUE
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 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:STE 224
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1504
Mailing Address - Country:US
Mailing Address - Phone:301-774-0074
Mailing Address - Fax:301-774-0640
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:STE 224
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1504
Practice Address - Country:US
Practice Address - Phone:301-774-0074
Practice Address - Fax:301-774-0640
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD18379207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1370866-011OtherCIGNA
MD416863-01OtherCAREFIRST BCBS
DC0763-0002OtherBCBS DC
458918OtherAETNA
MD22131OtherUNITED HEALTH/MAMSI
MDB92972Medicare UPIN
1370866-011OtherCIGNA