Provider Demographics
NPI:1356421408
Name:LEVY, RICHARD ANDREW (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ANDREW
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MS
Other - First Name:IRIT
Other - Middle Name:
Other - Last Name:STEINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3580 CALIFORNIA ST.
Mailing Address - Street 2:#302
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118
Mailing Address - Country:US
Mailing Address - Phone:415-929-9405
Mailing Address - Fax:415-929-1307
Practice Address - Street 1:3580 CALIFORNIA ST.
Practice Address - Street 2:#302
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118
Practice Address - Country:US
Practice Address - Phone:415-929-9405
Practice Address - Fax:415-929-1307
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG-27656207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
A43438Medicare UPIN
CA00G276560Medicare PIN