Provider Demographics
NPI:1437152733
Name:LEVY, ALLAN LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:LLOYD
Last Name:LEVY
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 1:172 THOMAS JOHNSON DR
Mailing Address - Street 2:STE 204
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4404
Mailing Address - Country:US
Mailing Address - Phone:301-663-8343
Mailing Address - Fax:301-695-0746
Practice Address - Street 1:172 THOMAS JOHNSON DR
Practice Address - Street 2:STE 204
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4404
Practice Address - Country:US
Practice Address - Phone:301-663-8343
Practice Address - Fax:301-695-0746
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD322522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD096796OtherMHN/HMC
MD512834OtherNATIONAL CAPITAL PPO
MD28572OtherALLIANCE/MAMSI/MDIPA/OCI
MD28572OtherALLIANCE/MAMSI/MDIPA/OCI
MD512834OtherNATIONAL CAPITAL PPO