Healthcare Provider Details

I. General information

NPI: 1902420268
Provider Name (Legal Business Name): GABRIEL FRANCISCO PEREIRA ALEIXO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 WOLF RIVER BLVD
GERMANTOWN TN
38138-1762
US

IV. Provider business mailing address

800 E CATHEDRAL RD # 2
PHILADELPHIA PA
19128-2116
US

V. Phone/Fax

Practice location:
  • Phone: 901-683-0055
  • Fax: 901-685-2969
Mailing address:
  • Phone: 404-452-3344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number76255
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: