Healthcare Provider Details

I. General information

NPI: 1699478214
Provider Name (Legal Business Name): AARON LITEVICH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 ELECTRIC RD
SALEM VA
24153-7494
US

IV. Provider business mailing address

1900 ELECTRIC ROAD.
SALEM VA
24153-9104
US

V. Phone/Fax

Practice location:
  • Phone: 540-444-2352
  • Fax:
Mailing address:
  • Phone: 540-444-2352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0102208907
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: