Basic Information
| Provider Information | |||||||||
| NPI: | 1447561824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEVY | ||||||||
| FirstName: | ALEXANDER | ||||||||
| MiddleName: | BARRY GALE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3553 WHIPPLE RD | ||||||||
| Address2: | |||||||||
| City: | UNION CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945871507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5106754241 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7777 HENNESSY BLVD | ||||||||
| Address2: | SUITE 709 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708084300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257657735 | ||||||||
| FaxNumber: | 2257651023 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2010 | ||||||||
| LastUpdateDate: | 12/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 303432 | LA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | BP10028778 | TX | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | A131636 | CA | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.