Healthcare Provider Details

I. General information

NPI: 1053998252
Provider Name (Legal Business Name): ALEXANDRA GALEL ADELMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E AJO WAY STE 200
TUCSON AZ
85713
US

IV. Provider business mailing address

2800 E AJO WAY STE 200
TUCSON AZ
85713-6204
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8000
  • Fax: 520-874-9001
Mailing address:
  • Phone: 520-694-8000
  • Fax: 520-874-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberME172526
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: