Basic Information
Provider Information
NPI: 1316186976
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILLIOUX
FirstName: ALEXANDER
MiddleName: CARL
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1621 BANK ST
Address2: APT. 214
City: BALTIMORE
State: MD
PostalCode: 212312344
CountryCode: US
TelephoneNumber: 4437220267
FaxNumber:  
Practice Location
Address1: THE JOHNS HOPKINS HOSPITAL
Address2: 600 N. WOLFE STREET
City: BALTIMORE
State: MD
PostalCode: 212870001
CountryCode: US
TelephoneNumber: 4109555000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/05/2009
LastUpdateDate: 08/18/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XD0077955MDY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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