Healthcare Provider Details

I. General information

NPI: 1881621662
Provider Name (Legal Business Name): ION ALEXIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 N TOWN CENTER DR
LAS VEGAS NV
89144-6367
US

IV. Provider business mailing address

PO BOX 80783
LAS VEGAS NV
89180-0783
US

V. Phone/Fax

Practice location:
  • Phone: 702-968-2437
  • Fax: 702-479-1796
Mailing address:
  • Phone: 702-949-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number7961
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: