Healthcare Provider Details

I. General information

NPI: 1992265466
Provider Name (Legal Business Name): SAJEN ALEXANDER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL VILLAGE DR
EDGEWOOD KY
41017-3403
US

IV. Provider business mailing address

10191 EVENDALE COMMONS DR
CINCINNATI OH
45241-2689
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-2000
  • Fax:
Mailing address:
  • Phone: 513-520-2676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number05993
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number31.016628
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: