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Organization

ALI ORANDI M.D., PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA A HICKS CMA (OFFICE MANAGER)
(517) 990-0029
Entity
Organization

Contact information

Practice address
1310 GREENWOOD AVE, SUITE 20, JACKSON, MI 49203-3077
(517) 990-0029
(517) 990-0039
Mailing address
1310 GREENWOOD AVE, SUITE 20, JACKSON, MI 49203-3077
(517) 990-0029
(517) 990-0039

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301061289
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0420088
PHP
MI
01
1103811341
BCBS
MI
01
4390534
CIGNA
MI
05
PENDING
MI
Enumeration date
02/02/2007
Last updated
08/22/2020
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