Provider Demographics
NPI:1740674043
Name:LEVY KAMUGISHA, EMILY ILA (MD, AAHIVS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ILA
Last Name:LEVY KAMUGISHA
Suffix:
Gender:F
Credentials:MD, AAHIVS
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:ILA
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8194 WALNUT HILL LANE, PROFESSIONAL OFFICE BUILDING 5
Mailing Address - Street 2:STE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4316
Mailing Address - Country:US
Mailing Address - Phone:214-891-6400
Mailing Address - Fax:214-891-6401
Practice Address - Street 1:8194 WALNUT HILL LANE, PROFESSIONAL OFFICE BUILDING 5
Practice Address - Street 2:STE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4316
Practice Address - Country:US
Practice Address - Phone:214-891-6400
Practice Address - Fax:214-891-6401
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9849207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine