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NPI 1528044922 · live from the CMS NPI Registry

Jan V Levitan, MD

Radiology, Diagnostic Radiology in Kamuela, HI. National Provider Identifier 1528044922, active.

NPI record

NPI1528044922 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location67-1125 Mamalahoa Hwy, Kamuela, HI 96743
Practice phone808-881-4880
Mailing address59-320 Pualele Pl, Kamuela, HI 96743
EnumeratedDecember 16, 2005
Last updatedJanuary 10, 2008
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X35.090752 (OH)
Radiology, Diagnostic Radiology primary2085R0202XMD-7319 (HI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.