Provider Demographics
NPI:1851732853
Name:SIWKIEWICZ, ALEKSANDRA FRANCISZKA (MD)
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:FRANCISZKA
Last Name:SIWKIEWICZ
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 1:12001 W WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5801
Mailing Address - Country:US
Mailing Address - Phone:833-574-2273
Mailing Address - Fax:
Practice Address - Street 1:8700 BOURGADE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1440
Practice Address - Country:US
Practice Address - Phone:913-676-8400
Practice Address - Fax:913-599-1692
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-42826207Q00000X
KS04-39342207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine