Provider Demographics
NPI:1396828638
Name:NITU, ALEXANDRU N (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRU
Middle Name:N
Last Name:NITU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 E STATE ROAD 44
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-9199
Mailing Address - Country:US
Mailing Address - Phone:317-736-5151
Mailing Address - Fax:
Practice Address - Street 1:990 E STATE ROAD 44
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-9199
Practice Address - Country:US
Practice Address - Phone:317-736-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055368208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200427050Medicaid
P00289217Medicare PIN
IN151560G8Medicare PIN
P00289217Medicare PIN
IN151510GGMedicare PIN
IN152520PPMedicare PIN