Provider Demographics
NPI:1730241217
Name:LEVINE, LYUBA (MD)
Entity type:Individual
Prefix:DR
First Name:LYUBA
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
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:PO BOX 2975
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2975
Mailing Address - Country:US
Mailing Address - Phone:956-362-2465
Mailing Address - Fax:956-362-2466
Practice Address - Street 1:2717 MICHAELANGELO DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1408
Practice Address - Country:US
Practice Address - Phone:956-362-2465
Practice Address - Fax:956-362-2466
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2413207VX0201X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH08HH88101OtherBCBS
TX144055402Medicaid
TX8947M6Medicare ID - Type Unspecified
TXCI5830Medicare PIN
TX144055401Medicaid
TX760010407OtherTIN
TX00R518Medicare PIN