Provider Demographics
NPI:1417766577
Name:BOOKER, ALEXIS SANDRIA (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:SANDRIA
Last Name:BOOKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8024 SUNFIELD CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-1528
Mailing Address - Country:US
Mailing Address - Phone:772-812-2594
Mailing Address - Fax:
Practice Address - Street 1:8024 SUNFIELD CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-1528
Practice Address - Country:US
Practice Address - Phone:772-812-2594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program