Provider Demographics
NPI:1942241534
Name:LEVY, ADAM VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:VINCENT
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 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:1800 W CHARLESTON BLVD
Practice Address - Street 2:L&D 7TH FLR
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2329
Practice Address - Country:US
Practice Address - Phone:702-671-2300
Practice Address - Fax:702-671-2333
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6135207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018341OtherMEDICAID NUMBER
NV35533OtherMEDICARE NUMBER
NV100500484Medicaid
NV6135OtherNEVADA LICENSE
NVCS06267OtherPHARMACY LICENSE
NV35533OtherMEDICARE NUMBER
NVCS06267OtherPHARMACY LICENSE