Provider Demographics
NPI:1265234421
Name:NICA, ALEXANDRU STEFAN (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRU
Middle Name:STEFAN
Last Name:NICA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17664 N 98TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-2519
Mailing Address - Country:US
Mailing Address - Phone:513-754-8317
Mailing Address - Fax:
Practice Address - Street 1:17664 N 98TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-2519
Practice Address - Country:US
Practice Address - Phone:513-754-8317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program