Skip Navigation

Provider Information for 1124450952

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LEVENT MIDYAT MD

Gender: MALE

Individual NPI: 1124450952

Calendar   Last Updated:  2019-05-23
  Certification Date: 

Details

Name Value
NPI 1124450952
Enumeration Date 2013-08-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 333 LONGWOOD AVE FL 5
BOSTON, MA 02115-5711
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 333 LONGWOOD AVE FL 5
BOSTON, MA 02115-5711
United States

Phone: 617-355-6105 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0214X - Pediatrics Pediatric Pulmonology MA 273921
No 208000000X - Pediatrics MA 273921