Provider Demographics
NPI:1629099379
Name:SAXENA, ALOK C (MD,)
Entity Type:Individual
Prefix:DR
First Name:ALOK
Middle Name:C
Last Name:SAXENA
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:PO BOX 35949
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5949
Mailing Address - Country:US
Mailing Address - Phone:702-838-3889
Mailing Address - Fax:702-838-3890
Practice Address - Street 1:5380 S RAINBOW BLVD STREET 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1877
Practice Address - Country:US
Practice Address - Phone:702-838-3889
Practice Address - Fax:702-838-3890
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019426Medicaid
NVE72785Medicare UPIN
NVV37993Medicare ID - Type Unspecified