Provider Demographics
NPI:1811574023
Name:LEVIN, CARLA IVY (MD, MS)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:IVY
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:13123 E 16TH AVE # 518
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7106
Mailing Address - Country:US
Mailing Address - Phone:720-777-1048
Mailing Address - Fax:720-777-1048
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-1048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.00731422080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology