Provider Demographics
NPI:1316073281
Name:LEVENE, HOWARD I (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:I
Last Name:LEVENE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 HELENS LN
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2683
Mailing Address - Country:US
Mailing Address - Phone:415-342-3048
Mailing Address - Fax:415-598-1800
Practice Address - Street 1:141 HELENS LN
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2683
Practice Address - Country:US
Practice Address - Phone:415-342-3048
Practice Address - Fax:415-598-1800
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG00083442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000G8344OtherMEDICAL LICENSE
CA000G8344OtherMEDICAL LICENSE