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NPI Code Detail

MEDICARE: MRS. ISABELLA LEVIYEV PA-C

MEDICARE: MRS. ISABELLA LEVIYEV PA-C
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
1332B00000XDurable Medical Equipment & Medical Supplies7939960001AZ
2332B00000XDurable Medical Equipment & Medical Supplies7047150001AZ
3332B00000XDurable Medical Equipment & Medical Supplies7034950001AZ
4332B00000XDurable Medical Equipment & Medical Supplies7046960001AZ
5332B00000XDurable Medical Equipment & Medical Supplies7045160001AZ
6332B00000XDurable Medical Equipment & Medical Supplies7209350001AZ
7332B00000XDurable Medical Equipment & Medical Supplies7629170001AZ
8332B00000XDurable Medical Equipment & Medical Supplies7057360001AZ
9363A00000XPhysician Assistant6045AZ
10363AM0700XMedical Physician Assistant6045AZ

General Provider Information

NPI Number : 1720255185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ISABELLA LEVIYEV PA-C
Provider Business Mailing Address
First Line : 1839 S ALMA SCHOOL RD STE 354
Second Line :
City : MESA
State : AZ
Zip : 85210-3028
Country : US
Telephone Number : 480-726-2287
Fax Number : 888-503-3312
Provider Business Practice Location Address
First Line : 20860 N TATUM BLVD STE 290
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4282
Country : US
Telephone Number : 480-563-1144
Fax Number : 480-563-2371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 03/01/2023

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