Provider Demographics
NPI:1710220512
Name:ALEXANDER, VINITA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:VINITA
Middle Name:MARIE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17300 N OUTER 40 RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1364
Mailing Address - Country:US
Mailing Address - Phone:636-778-9899
Mailing Address - Fax:636-778-9915
Practice Address - Street 1:4444 FOREST PARK AVE
Practice Address - Street 2:STE 3100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2212
Practice Address - Country:US
Practice Address - Phone:314-286-2400
Practice Address - Fax:314-286-2455
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018004983207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program