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Contact Information

IVAN S LOWENTHAL, MD
633 GOV CARLOS CAMACHO RD., STE B5
TAMUNING, GU96913-3194
 Phone: 671-647-4656
 Fax: 671-647-4660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IVAN S LOWENTHAL · (Male)

NPI # 1043245889
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 03/19/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 18789
  • GU License # M-1925
  • CT Medicaid 001187897
  • Other 06-1088532 TAX ID #
  • CT Other 1683 CT CONTROLLED SUBSTANCE
  • CT Other 18789 CT. LICENSE
  • GU Other M-1925 GUAM LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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