Healthcare Provider Details

I. General information

NPI: 1467666537
Provider Name (Legal Business Name): YEFIM LEVY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24777 GREENFIELD RD
SOUTHFIELD MI
48075-3065
US

IV. Provider business mailing address

24777 GREENFIELD RD
SOUTHFIELD MI
48075-3065
US

V. Phone/Fax

Practice location:
  • Phone: 248-559-1950
  • Fax: 248-559-1731
Mailing address:
  • Phone: 248-559-1950
  • Fax: 248-559-1731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberYL058737
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMK011367
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberHM006157
License Number StateMI

VIII. Authorized Official

Name: YEFIM LEVY
Title or Position: OWNER
Credential: MD
Phone: 248-559-1950