Alexander Rodriguez, MD
Student in an Organized Health Care Education/Training Program in Indianapolis, IN. Individual provider (NPI-1).
NPI number1154079986
StatusActive
Last updated in NPPESApr 18, 2023
Details
- NPI
- 1154079986
- Entity type
- Individual (NPI-1)
- Name
- Alexander Rodriguez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2022
- Certification date
- Apr 17, 2023
- Last updated
- Apr 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
720 Eskenazi Ave Rm F2-163Indianapolis, IN 46202-5187
Phone 317-278-5835
Mailing address
720 Eskenazi Ave Rm F2-163Indianapolis, IN 46202-5187
Phone 317-278-5835
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