Deradke, Alexander Christopher
Deradke, Alexander Christopher is an sole proprietor health care provider with primary practice located at Msc 10-5550 University Of New Mexico , Albuquerque NM 87131-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Deradke, Alexander Christopher can be contacted via phone (505) 272-4661.Contact Information
Primary practice address
Msc 10-5550 University Of New Mexico
Albuquerque NM 87131-0001
Phone: (505) 272-4661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO2022-0123 | New Mexico |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | DO2022-0123 | New Mexico |
Profile Details
| NPI number | 1851851950 |
|---|---|
| LBN Legal business name | Deradke, Alexander Christopher |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2019 |
| Last updated | Jul 8th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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