MEDICARE: DR. ZVI LEVRAN 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
1	208800000X	Urology Physician	54715	MN
2	174400000X	Specialist	4301055084	MI

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	:	1720020068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZVI LEVRAN MD

Provider Business Mailing Address
First Line	:	3785 BAY RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-2433
Country	:	US
Telephone Number	:	989-791-2455
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 HAGGERTY RD STE 1010
Second Line	:
City	:	W BLOOMFIELD
State	:	MI
Zip	:	48323-2185
Country	:	US
Telephone Number	:	248-766-0802
Fax Number	:

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	02/26/2019

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