Individual provider · NPI-1
Randy Levin, M.D.
Psychiatry & Neurology, Neurology · Olney, MD
NPI number1104958107
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104958107
- Entity type
- Individual (NPI-1)
- Name
- Randy Levin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | D0041345 | MD | Yes |
Practice location
17833 Whimsey CtOlney, MD 20832-2826
Phone 301-570-4286
Mailing address
17833 Whimsey CtOlney, MD 20832-2826
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.