Individual
KEITH A. LEIBOWITZ
Active
Individual
KEITH A. LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101239026
VA
207RG0100X
Gastroenterology Physician
Primary
G129017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010251338
—
VA
01
—
192063
ANTHEM
VA
01
—
P00313962
RR/MEDICARE
—
Enumeration date
02/21/2006
Last updated
05/31/2022
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