MEDICARE: DR. AMY L LEVIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	036120809	IL
2	208600000X	Surgery Physician	14561	NV

General Provider Information

NPI Number	:	1417113119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY L LEVIN MD

Provider Business Mailing Address
First Line	:	2121 E FLAMINGO RD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5122
Country	:	US
Telephone Number	:	702-685-5668
Fax Number	:	702-685-0599

Provider Business Practice Location Address
First Line	:	2121 E FLAMINGO RD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5122
Country	:	US
Telephone Number	:	702-685-5668
Fax Number	:	702-685-0599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	05/05/2017

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