Provider Demographics
NPI:1487845277
Name:LEVINE, HOWARD L (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:L
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6770 MAYFIELD RD
Mailing Address - Street 2:STE 441
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:216-518-3298
Mailing Address - Fax:216-518-3297
Practice Address - Street 1:5555 TRANSPORTATION BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5371
Practice Address - Country:US
Practice Address - Phone:216-518-3298
Practice Address - Fax:216-518-3297
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2016-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35033845207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0295710Medicaid
OH35033845OtherMEDICAL LICENSE
OH0295710Medicaid
OH35033845OtherMEDICAL LICENSE