Individual
JAN V LEVITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743-8496
(808) 881-4880
Mailing address
59-320 PUALELE PL, KAMUELA, HI 96743-8530
(808) 880-9789
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.090752
OH
2085R0202X
Diagnostic Radiology Physician
Primary
MD-7319
HI
Other
Enumeration date
12/16/2005
Last updated
01/10/2008
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