Provider Demographics
NPI:1053208033
Name:ALAKHRAS, SAM
Entity type:Individual
Prefix:
First Name:SAM
Middle Name:
Last Name:ALAKHRAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5697 N 75 E
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-9683
Mailing Address - Country:US
Mailing Address - Phone:765-775-0229
Mailing Address - Fax:
Practice Address - Street 1:5697 N 75 E
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-9683
Practice Address - Country:US
Practice Address - Phone:765-775-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program