Provider Demographics
NPI:1528157013
Name:LEVIN, ALAN LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LOUIS
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3600 PRYTANIA ST
Mailing Address - Street 2:SUITE 35
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3628
Mailing Address - Country:US
Mailing Address - Phone:504-897-8412
Mailing Address - Fax:504-891-9862
Practice Address - Street 1:3525 PRYTANIA ST
Practice Address - Street 2:SUITE 618
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3500
Practice Address - Country:US
Practice Address - Phone:504-891-5857
Practice Address - Fax:504-897-8634
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2013-01-15
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Provider Licenses
StateLicense IDTaxonomies
LAMD013243208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1152617Medicaid
LAB60825Medicare UPIN
LA1152617Medicaid