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NPI Code Detail

MEDICARE: VIVECA BHAT LIVEZEY MD

MEDICARE: VIVECA BHAT LIVEZEY 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
12084N0400XNeurology PhysicianD66936MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18BT990OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1326173527
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVECA BHAT LIVEZEY MD
Provider Business Mailing Address
First Line : 9309 OLD GEORGETOWN RD
Second Line :
City : BETHESDA
State : MD
Zip : 20814-1620
Country : US
Telephone Number : 240-777-3131
Fax Number :
Provider Business Practice Location Address
First Line : 9309 OLD GEORGETOWN RD
Second Line :
City : BETHESDA
State : MD
Zip : 20814-1620
Country : US
Telephone Number : 240-777-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 11/21/2016

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Directions to “ VIVECA BHAT LIVEZEY MD” Practice Location

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