IndividualActive
Anastas Provatas, MD
NPI 1497740054 · Hematology & Oncology Physician · Alexandria, MN
Provider details
- NPI number
- 1497740054
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 105335 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
111 17th Ave E
Alexandria, MN 56308-5273
Phone: (320) 763-2707
Fax: (320) 763-7883
Approximate (ZIP-level) locationGet directions
Mailing address
610 30th Ave W
Alexandria, MN 56308-3426
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.