Individual
DR. MEGAN AILEEN LEIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13296 FREEHOLD CT, CARMEL, IN 46032
(773) 450-8780
Mailing address
13296 FREEHOLD CT, CARMEL, IN 46032-8230
(773) 450-8780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068687A
IN
207R00000X
Internal Medicine Physician
036.119622
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201001950
—
IN
01
—
P01405425
MEDICARE RR
IN
Enumeration date
03/27/2008
Last updated
06/01/2018
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