Provider Demographics
NPI:1881621662
Name:ALEXIE, ION (MD)
Entity type:Individual
Prefix:DR
First Name:ION
Middle Name:
Last Name:ALEXIE
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:PO BOX 80783
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-0783
Mailing Address - Country:US
Mailing Address - Phone:702-949-2329
Mailing Address - Fax:
Practice Address - Street 1:2435 FIRE MESA ST
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9009
Practice Address - Country:US
Practice Address - Phone:702-968-2437
Practice Address - Fax:702-479-1796
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7961207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100501291Medicaid
NV100501291Medicaid
NVG34851Medicare UPIN