Individual
DR. LOUIS ALBERT IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7316 WISCONSIN AVE, SUITE 220, BETHESDA, MD 20814-2907
(301) 913-9207
Mailing address
7316 WISCONSIN AVE, BETHESDA, MD 20814-2907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0009282
MD
208600000X
Surgery Physician
MD5404
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23989
CHARTERED HEALTH PLAN
DC
05
—
4401100
—
DC
Enumeration date
01/24/2007
Last updated
07/08/2007
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