Healthcare Provider Details

I. General information

NPI: 1841718129
Provider Name (Legal Business Name): ALEXANDER LIGHTSTONE BORSAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 E DESERT COVE AVE UNIT 320
SCOTTSDALE AZ
85254-5394
US

IV. Provider business mailing address

3550 N GOLDWATER BLVD STE 1079
SCOTTSDALE AZ
85251-5538
US

V. Phone/Fax

Practice location:
  • Phone: 602-818-3994
  • Fax: 602-818-3994
Mailing address:
  • Phone: 480-685-9022
  • Fax: 480-270-6094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: