Provider Demographics
NPI:1669470886
Name:LEVIN, WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10 DAVOL SQ
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4754
Mailing Address - Country:US
Mailing Address - Phone:401-421-4000
Mailing Address - Fax:401-272-1456
Practice Address - Street 1:41 SANDERSON RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2602
Practice Address - Country:US
Practice Address - Phone:401-349-0366
Practice Address - Fax:401-349-4875
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD05675207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI709003867OtherMEDICARE GROUP
RI5778221OtherAETNA
RIP00181635OtherRAILROAD MEDICARE
RI050483739OtherMULTIPLAN
RI1073OtherNEIGHBORHOOD HEALTH PLAN
RI25-00656OtherUNITED HEALTH CARE
RIAA22556OtherHARVARD HEALTH PLAN
RI001316OtherBLUE CHIP
RI797182OtherTUFTS
RI7002039Medicaid
RI29114-3OtherBCBS OF RI
RI7002039Medicaid
RIAA22556OtherHARVARD HEALTH PLAN
RI050483739OtherMULTIPLAN