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Dr. Alexander Fang, MD

Student in an Organized Health Care Education/Training Program in Bronx, NY. Individual provider (NPI-1).

NPI number1679415962
StatusActive
Last updated in NPPESApr 7, 2026

Details

NPI
1679415962
Entity type
Individual (NPI-1)
Name
Dr. Alexander Fang
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 7, 2026
Certification date
Apr 7, 2026
Last updated
Apr 7, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

111 E 210th St
Bronx, NY 10467-2401

Phone 718-920-4321

Mailing address

111 E 210th St
Bronx, NY 10467-2401

Phone 718-920-4321

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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