MEDICARE: SAJI ALEXANDER

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	247100000X	Radiologic Technologist	18454	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7118221	OTHER	TX	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0036DC	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1992723597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAJI ALEXANDER

Provider Business Mailing Address
First Line	:	PO BOX 38111
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77238-8111
Country	:	US
Telephone Number	:	713-692-1133
Fax Number	:	713-692-2299

Provider Business Practice Location Address
First Line	:	411 W PARKER RD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77091-3202
Country	:	US
Telephone Number	:	713-692-1133
Fax Number	:	713-692-2299

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	03/30/2015

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Directions to “ SAJI ALEXANDER ” Practice Location

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