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NPI Code Detail

MEDICARE: BENJAMIN LEVI M.D.

MEDICARE:   BENJAMIN  LEVI  M.D.
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
1208200000XPlastic Surgery Physician4301085870MI
2208600000XSurgery Physician4301085870MI
32086S0102XSurgical Critical Care Physician4301085870MI
4208600000XSurgery PhysicianS6435TX

General Provider Information

NPI Number : 1932228871
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN LEVI M.D.
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1633
Country : US
Telephone Number : 734-647-5299
Fax Number :
Provider Business Practice Location Address
First Line : 4900 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7719
Country : US
Telephone Number : 214-590-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 01/12/2022

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Directions to “ BENJAMIN LEVI M.D.” Practice Location

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