Provider Demographics
NPI:1265490494
Name:ALEXANDER, KAREN P (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:P
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17969
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-668-8871
Mailing Address - Fax:919-668-7056
Practice Address - Street 1:2400 PRATT ST
Practice Address - Street 2:RM 0311 TERRACE LEVEL
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3976
Practice Address - Country:US
Practice Address - Phone:919-668-8871
Practice Address - Fax:919-668-7056
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600438174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2255376AMedicare ID - Type Unspecified
NCG70384Medicare UPIN