MEDICARE: NIKITA GEORGE ALEXIADES M.D.

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	207T00000X	Neurological Surgery Physician	65270	AZ

General Provider Information

NPI Number	:	1548603053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKITA GEORGE ALEXIADES M.D.

Provider Business Mailing Address
First Line	:	1432 S DOBSON RD STE 403
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-4777
Country	:	US
Telephone Number	:	480-412-7473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1432 S DOBSON RD STE 403
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-4777
Country	:	US
Telephone Number	:	480-412-7473
Fax Number	:

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

Provider Enumeration Date	:	04/15/2013
Last Update Date	:	01/28/2024

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