Provider Demographics
NPI:1184609943
Name:KON, ALEXANDER A (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:A
Last Name:KON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2516 STOCKTON BLVD
Mailing Address - Street 2:UCDAVIS DEPT OF PEDIATRICS
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2208
Mailing Address - Country:US
Mailing Address - Phone:916-734-2131
Mailing Address - Fax:916-456-2235
Practice Address - Street 1:2516 STOCKTON BLVD
Practice Address - Street 2:UC DAVIS, DEPT OF PEDIATRICS
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2208
Practice Address - Country:US
Practice Address - Phone:916-734-2131
Practice Address - Fax:916-456-2235
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA548942080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine