Individual
ANDREI V ALEXANDROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONROE AVE, MEMPHIS, TN 38103-4901
(901) 448-6199
Mailing address
855 MONROE AVE, MEMPHIS, TN 38103-4901
(901) 448-6199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000050775
TN
2084N0400X
Neurology Physician
Primary
50775
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942586
—
AL
05
—
009942587
—
AL
05
—
04686751
—
MS
01
—
051540494
BLUE CROSS
AL
01
—
051540496
BLUE CROSS
AL
05
—
202109001
—
AR
05
—
Q003328
—
TN
Enumeration date
03/14/2007
Last updated
02/01/2019
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