Individual
DR. RICHARD IRA LETVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 GOLF HOUSE ROAD, COURT E, WHITSETT, NC 27377
(336) 449-9748
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9701033
NC
208000000X
Pediatrics Physician
9701033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10666
BCBS NC
NC
01
—
20277
PARTNERS MEDICARE
NC
01
—
74047
MEDCOST
NC
01
—
7566111
AETNA
NC
05
—
8910666
—
NC
Enumeration date
04/18/2006
Last updated
09/28/2021
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