Provider Demographics
NPI:1386140325
Name:CARVALHO, ALEXANDRE MACHADO DE SANT'ANNA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRE
Middle Name:MACHADO DE SANT'ANNA
Last Name:CARVALHO
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:676 N SAINT CLAIR ST STE 940
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2945
Mailing Address - Country:US
Mailing Address - Phone:312-926-8358
Mailing Address - Fax:312-926-9630
Practice Address - Street 1:676 N SAINT CLAIR ST STE 940
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2945
Practice Address - Country:US
Practice Address - Phone:312-926-8358
Practice Address - Fax:312-926-9630
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036156457207RI0200X, 208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program