Healthcare Provider Details

I. General information

NPI: 1154827111
Provider Name (Legal Business Name): ALEX HAMILTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 NAAB RD STE 100
INDIANAPOLIS IN
46260-1985
US

IV. Provider business mailing address

6021 GODELLO CIR
ZIONSVILLE IN
46077-7768
US

V. Phone/Fax

Practice location:
  • Phone: 317-207-7411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number02007427A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: