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1346071032

NPI Code Detail

MEDICARE: ALEXIS VICTORIA ROBERTS PA

MEDICARE: ALEXIS VICTORIA ROBERTS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	001014443	NC
2	2085R0202X	Diagnostic Radiology Physician	0010-14443	NC
3	363A00000X	Physician Assistant	0010-14443	NC

General Provider Information

NPI Number	:	1346071032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS VICTORIA ROBERTS PA

Provider Business Mailing Address
First Line	:	PO BOX 85378
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60689-5378
Country	:	US
Telephone Number	:	336-274-6682
Fax Number	:	336-274-8097

Provider Business Practice Location Address
First Line	:	1331 N ELM ST STE 200
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-6304
Country	:	US
Telephone Number	:	336-274-6682
Fax Number	:	336-274-8097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	02/19/2026

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1306822358 — MICHAEL HUNTER BROWN MD
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1275532798 — ADAM RYAN HENN MD
Practice Location Address:

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27401-6304

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1700887247 — LIVIU E POP MD
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1447249495 — ASHOK K GUPTA MD
Practice Location Address:

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Directions to “ ALEXIS VICTORIA ROBERTS PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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