Healthcare Provider Details

I. General information

NPI: 1902785322
Provider Name (Legal Business Name): ALEX HUANG PHARMD, BCIDP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN BLVD
DETROIT MI
48201
US

IV. Provider business mailing address

4240 CASS AVE APT 207
DETROIT MI
48201-1970
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-0169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number85785
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: