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NPI Code Detail

MEDICARE: ALEXANDER T LALOS M.D.

MEDICARE: ALEXANDER T LALOS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianMD044410LPA
2207RT0003XTransplant Hepatology PhysicianMD042763DC
3207RG0100XGastroenterology Physician25MA11138900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316943947
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER T LALOS M.D.
Provider Business Mailing Address
First Line : 1311 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7118
Country : US
Telephone Number : 513-817-3039
Fax Number : 866-894-0576
Provider Business Practice Location Address
First Line : 1311 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7118
Country : US
Telephone Number : 513-817-3039
Fax Number : 866-894-0576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/06/2025

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