Provider Demographics
NPI:1003047515
Name:ALAS, ALEXANDRIAH NICOLE (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRIAH
Middle Name:NICOLE
Last Name:ALAS
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 1:4725 1ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7366
Mailing Address - Country:US
Mailing Address - Phone:925-734-3333
Mailing Address - Fax:
Practice Address - Street 1:4725 1ST ST STE 100
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7366
Practice Address - Country:US
Practice Address - Phone:925-734-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9107207VF0040X
CAA115628207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX361926402OtherCSHCN
TX361926401Medicaid
TX361926402OtherCSHCN