EDI LEVI (NPI# 1336159649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336159649 |
| Entity Type | Individual |
| Full Name | EDI LEVI |
| Credential | M.D. |
| Practice Address |
4646 John R St Palms 11lab Detroit MI 48201-1916 |
| Practice Telephone | 3135761000 |
| Practice Fax Number | 3135761120 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
4301079179 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4646 JOHN R ST PALMS 11LAB |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344121 | Christopher Emil Hermann | Nurse Practitioner | 4646 John R St, Detroit, MI 48201-1916 | 2005-05-24 |
| 1881293892 | Derrick Williams | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-10-21 |
| 1598371544 | Sonia Govil | Dietitian, Registered | 4646 John R St, Detroit, MI 48201-1916 | 2020-09-16 |
| 1740893569 | Nicholas Edward Peters | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-31 |
| 1710597455 | Amber Michelle Young | Social Worker | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-07 |
| 1104434471 | Zeinab H Moussa | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-22 |
| 1235747346 | Samantha Beth Lewis | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-15 |
| 1477171189 | Rima Mohammad Fardos | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-09 |
| 1992323869 | Sarah F Waqhar | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-08 |
| 1619594181 | Mellisa Ann Boyle | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902231848 | Catherine I Socec | Pathology | 4201 Saint Antoine St Ste 3e-1, Detroit, MI 48201-2153 | 2013-09-11 |
| 1508164021 | Tapan Mahendra Bhavsar | Pathology | 4201 Saint Antoine St # 2s-13, Detroit, MI 48201-2153 | 2011-03-08 |
| 1427413954 | Jie Yan | Pathology | 2799 W Grand Blvd, Detroit, MI 48202 | 2015-12-29 |
| 1346454295 | Madhu Parameswar Menon | Pathology | 2799 W Grand Blvd, Pathology K-6, Detroit, MI 48202-2608 | 2007-05-10 |
| 1881733822 | Kristin Hunt Karner | Pathology | 2799 W Grand Blvd, K-6 Pathology, Detroit, MI 48202-2608 | 2007-02-06 |
| 1740338458 | Robert C. Hawley | Pathology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-08 |
| 1003964719 | Koichi Maeda | Pathology | 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | 2007-01-08 |
| 1821146531 | Sundara B. Raman | Pathology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306952510 | Rajan Dewar | Pathology | 500 Kirts Blvd Ste 100, Troy, MI 48084 | 2006-08-21 |
| 1740240100 | Joan C. Mattson | Pathology | 15344 Club Course Dr, Bath, MI 48808-8797 | 2006-03-27 |
| 1467834523 | Lauren Michele Stanoszek | Pathology | 1301 Catherine Street, 4232 Med Sci I, Ann Arbor, MI 48109-5602 | 2015-06-25 |
| 1356723415 | Steven Carl Weindorf | Pathology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2015-06-25 |
| 1306266804 | Yi Wang | Pathology | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2014-04-23 |
| 1932403482 | Rashi Singhal Gupta | Pathology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2010-12-26 |
| 1013232859 | Winston Yuhsien Lee | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2010-04-05 |
| 1699902130 | Daniel F Boyer | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2009-06-11 |
| 1760619282 | Xi Wang | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2009-06-11 |
| 1780833145 | Noah Aaron Brown | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2008-09-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.