# ALEXANDER IMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114901444
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | AI070134 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 12082 | NV | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 6727480001 | NV | — |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 10/31/2019