MEDICARE: ALLAN LLOYD LEVY M.D.

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	2084P0800X	Psychiatry Physician	D32252	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	096796	OTHER	MD	MHN/HMC
2	512834	OTHER	MD	NATIONAL CAPITAL PPO
3	28572	OTHER	MD	ALLIANCE/MAMSI/MDIPA/OCI

General Provider Information

NPI Number	:	1437152733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLAN LLOYD LEVY M.D.

Provider Business Mailing Address
First Line	:	172 THOMAS JOHNSON DR
Second Line	:	STE 204
City	:	FREDERICK
State	:	MD
Zip	:	21702-4404
Country	:	US
Telephone Number	:	301-663-8343
Fax Number	:	301-695-0746

Provider Business Practice Location Address
First Line	:	172 THOMAS JOHNSON DR
Second Line	:	STE 204
City	:	FREDERICK
State	:	MD
Zip	:	21702-4404
Country	:	US
Telephone Number	:	301-663-8343
Fax Number	:	301-695-0746

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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