Provider Demographics
NPI:1497991855
Name:DR ZVI LEVRAN MD PC
Entity Type:Organization
Organization Name:DR ZVI LEVRAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ZVI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-432-1913
Mailing Address - Street 1:14555 LEVAN RD
Mailing Address - Street 2:309
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5083
Mailing Address - Country:US
Mailing Address - Phone:734-432-1913
Mailing Address - Fax:734-432-1915
Practice Address - Street 1:14555 LEVAN RD
Practice Address - Street 2:309
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5083
Practice Address - Country:US
Practice Address - Phone:734-432-1913
Practice Address - Fax:734-432-1915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3401055084174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIG14846Medicare UPIN