Provider Demographics
NPI:1811004666
Name:SHESTER, ALEXANDER A (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:A
Last Name:SHESTER
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 1:3980 STELLA MARIS LN
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-3560
Mailing Address - Country:US
Mailing Address - Phone:760-419-7087
Mailing Address - Fax:
Practice Address - Street 1:3980 STELLA MARIS LN
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-3560
Practice Address - Country:US
Practice Address - Phone:760-419-7087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2016-03-08
Deactivation Date:2016-01-25
Deactivation Code:
Reactivation Date:2016-03-01
Provider Licenses
StateLicense IDTaxonomies
CAG235862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry