MEDICARE: MR. ERNESTO N 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	207RR0500X	Rheumatology Physician	83470	SC
2	207RR0500X	Rheumatology Physician	01064370A	IN
3	207RR0500X	Rheumatology Physician	MD423583	PA
4	207RR0500X	Rheumatology Physician	263037	NY
5	207RR0500X	Rheumatology Physician	MD23773	ME
6	207RR0500X	Rheumatology Physician	100125	MO
7	207RR0500X	Rheumatology Physician	55071	AZ
8	207RR0500X	Rheumatology Physician	343231	LA
9	207RR0500X	Rheumatology Physician	40813	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760431225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERNESTO N LEVY M.D.

Provider Business Mailing Address
First Line	:	1015 N SHARTEL AVENUE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1021
Country	:	US
Telephone Number	:	405-606-8070
Fax Number	:	405-606-6350

Provider Business Practice Location Address
First Line	:	1015 N SHARTEL AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1021
Country	:	US
Telephone Number	:	405-606-8070
Fax Number	:	405-606-6350

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	10/15/2024

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Directions to “ MR. ERNESTO N LEVY M.D.” Practice Location

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