Provider Demographics
NPI:1457113201
Name:NSAME, LEVIS SIGHAN
Entity Type:Individual
Prefix:
First Name:LEVIS SIGHAN
Middle Name:
Last Name:NSAME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9901 TREETOP LN # 20706
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2158
Mailing Address - Country:US
Mailing Address - Phone:202-866-7505
Mailing Address - Fax:
Practice Address - Street 1:9901 TREETOP LANHAM
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:832-335-4486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator