Active NPI
Valery Alexandrov
- Family Medicine Physician
- Farmington Hills, MI
National Provider Identifier
1275789166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301075236
- Practice address
- 30500 Northwestern Hwy Ste 316C
Farmington Hills, MI 48334-3178 - Phone
- (248) 539-8781
- NPI assigned
- Aug 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301075236 | MI | Primary |
Addresses
Primary practice location
30500 Northwestern Hwy Ste 316C
Farmington Hills, MI 48334-3178
Mailing address
6010 Wellesley Dr
West Bloomfield, MI 48322-2366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301075236 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1275789166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 WELLESLEY DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30500 NORTHWESTERN HWY STE 316C",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343178",
"telephone_number": "248-539-8781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDROV",
"first_name": "VALERY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301075236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.