Individual
MR. MICHAEL J LEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
14458
TN
2085R0202X
Diagnostic Radiology Physician
Primary
MD14458
TN
2085R0204X
Vascular & Interventional Radiology Physician
14458
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509287
MEDICAID - MTI
TN
05
—
1509287
—
TN
01
—
1640137
UNITED HEALTHCARE OF TN
TN
01
—
1681750
CIGNA
TN
01
—
300107905
RAILROAD MEDICARE
TN
01
—
3103415
BCBS
TN
01
—
3135901
BCBS
TN
05
—
3193952
—
TN
01
—
4076941
BCBS
TN
01
—
4200841
BCBS TN
TN
01
—
4291330
BCBS - MTI
TN
01
—
64796857
KY MEDICAID
KY
01
—
P00960022
RR MEDICARE - MTI
TN
Enumeration date
06/05/2006
Last updated
11/30/2011
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