Provider Demographics
NPI:1700980299
Name:ARKHIPOV, ALEXEI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXEI
Middle Name:
Last Name:ARKHIPOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 BRIGGS ST STE 280
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1271
Mailing Address - Country:US
Mailing Address - Phone:210-922-1977
Mailing Address - Fax:210-446-5166
Practice Address - Street 1:88 BRIGGS ST STE 280
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1271
Practice Address - Country:US
Practice Address - Phone:210-922-1977
Practice Address - Fax:210-446-5166
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-30473207RH0003X
TXM8506207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192880601Medicaid
TX8BB930OtherBCBS
TXP00470615OtherMEDICARE RAILROAD
TX7456520OtherAETNA
TX742980813OtherHUMANA
TX47498OtherMEDICAID REPLACEMENT AETNA
TX6808383OtherCIGNA
TX8K4544Medicare PIN
TX7456520OtherAETNA