Basic Information
| Provider Information | |||||||||
| NPI: | 1093455578 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RIAS | ||||||||
| FirstName: | ALEXUS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 395 COUNTY ROAD 141 | ||||||||
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| City: | COILA | ||||||||
| State: | MS | ||||||||
| PostalCode: | 389239553 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9018968268 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3130 HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452192399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135847425 | ||||||||
| FaxNumber: | 5135847681 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2022 | ||||||||
| LastUpdateDate: | 03/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.