Individual
ALEXANDER IMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1358 PASEO VERDE PKWY STE 100, HENDERSON, NV 89012-5725
(702) 982-7100
(702) 982-7102
Mailing address
PO BOX 531666, HENDERSON, NV 89053-1666
(702) 982-7100
(702) 982-7102
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
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