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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID LEVI NATHAN, MD

Active Sole Proprietor

DAVID LEVI NATHAN, MD is a Dermatology healthcare provider located in AVON, Indiana. NPI 1619963998 is currently active in the NPPES registry. Verify at CMS.

Dermatology · AVON, IN

Registration Details

NPI Number
1619963998
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2005 (20.934285781685 yrs)
Last Updated
Dec 18, 2007
License
01051097 (IN)
Sole Proprietor
Yes

Practice Information

Address
8244 E US HIGHWAY 36
SUITE 1220
AVON, IN, 461239613
Browse IN providers · Browse ZIP 46123
Phone
3172721366
Fax
3172721388
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.