Alexandre Ivanov

NPI: 1851269823

About Alexandre Ivanov

Alexandre Ivanov is a Nutrition Support healthcare provider based in Lawrenceville, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/29/2025. The National Provider Identifier (NPI) number assigned to this provider is 1851269823.

No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.

Practice Information

  • Specialty Nutrition Support
  • Location Lawrenceville, GA
  • Active Since 10/29/2025
  • Last Updated 10/29/2025
  • Taxonomy Code 1835N1003X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1851269823

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.