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NPI Code Detail

MEDICARE: DR. AMITA ALEXANDER MD

MEDICARE: DR. AMITA ALEXANDER MD
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
1207Q00000XFamily Medicine PhysicianP0948TX
2207Q00000XFamily Medicine Physician64156AZ

General Provider Information

NPI Number : 1730344508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMITA ALEXANDER MD
Provider Business Mailing Address
First Line : 7701 W ASPERA BLVD
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-7947
Country : US
Telephone Number : 480-220-8421
Fax Number :
Provider Business Practice Location Address
First Line : 7701 W ASPERA BLVD
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-7947
Country : US
Telephone Number : 623-248-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2008
Last Update Date : 11/05/2022

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