Provider Demographics
NPI:1942269485
Name:UY, ALEC JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:ALEC
Middle Name:JOSEPH
Last Name:UY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AL
Other - Middle Name:JOSEPH
Other - Last Name:UY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:280 HOSPITAL PKWY BLDG D
Mailing Address - Street 2:STATION MED 4B
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1103
Mailing Address - Country:US
Mailing Address - Phone:408-972-6902
Mailing Address - Fax:408-972-6928
Practice Address - Street 1:280 HOSPITAL PKWY BLDG D
Practice Address - Street 2:STATION MED 4B
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1103
Practice Address - Country:US
Practice Address - Phone:408-972-6902
Practice Address - Fax:408-972-6928
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32523207Q00000X
CAC54019207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ045131Medicaid
Z107780Medicare PIN
I40123Medicare UPIN