Alex Ryder, MD, PHD in Southaven, MS - Pathology

Alex Ryder, MD, PHD is a Pathology - Clinical Pathology/laboratory Medicine physician based in Southaven, Mississippi. Alex Ryder is licensed to practice in Tennessee (license number 53551) and his current practice location is 1280 Stateline Rd E, Southaven, Mississippi. He can be reached at his office (for appointments etc.) via phone at (877) 334-0021.

NPI number for Alex Ryder is 1033435706 and his current mailing address is 9050 Telluride Cv, Germantown, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033435706.

Contact Information

	Alex Ryder, MD, PHD
	1280 Stateline Rd E, Southaven, MS 38671-9486
	(877) 334-0021
	Not Available

Physician's Profile

Full Name	Alex Ryder
Gender	Male
Speciality	Pathology - Clinical Pathology/laboratory Medicine
Location	1280 Stateline Rd E, Southaven, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1033435706
Provider Enumeration Date: 04/20/2010
Last Update Date: 07/01/2023

Medical Identifiers

Medical identifiers for Alex Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033435706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZB0001X	Pathology - Blood Banking & Transfusion Medicine	53551 (Tennessee)	Secondary
207ZP0105X	Pathology - Clinical Pathology/laboratory Medicine	53005 (Connecticut)	Secondary
207ZP0105X	Pathology - Clinical Pathology/laboratory Medicine	53551 (Tennessee)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alex Ryder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alex Ryder, MD, PHD 9050 Telluride Cv, Germantown, TN 38138-8400 Ph: (503) 559-5873	Alex Ryder, MD, PHD 1280 Stateline Rd E, Southaven, MS 38671-9486 Ph: (877) 334-0021

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Alex Ryder, MD, PHD - Pathology in Southaven, MS