Individual
ALEXANDER IMAS
Active
Individual
ALEXANDER IMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
AI070134
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12082
NV
332B00000X
Durable Medical Equipment & Medical Supplies
6727480001
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376795823
GROUP NPI
NV
Enumeration date
11/30/2005
Last updated
10/31/2019
Update your record
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