Healthcare Provider Details

I. General information

NPI: 1164059523
Provider Name (Legal Business Name): ALEXANDER REUBEN MARKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 CALIFORNIA ST RM 715
SAN FRANCISCO CA
94118-1509
US

IV. Provider business mailing address

3838 CALIFORNIA ST RM 715
SAN FRANCISCO CA
94118-1509
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-8010
  • Fax: 415-752-2560
Mailing address:
  • Phone: 415-668-8010
  • Fax: 415-752-2560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA182896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: