Organization
MARY K ALANI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KHACHICK ALANI M.D. (OWNER)
(248) 646-3323
Entity
Organization
Contact information
Practice address
6405 TELEGRAPH RD, SUITE F2, BLOOMFIELD HILLS, MI 48301-1716
(248) 646-3323
(248) 646-3355
Mailing address
6405 TELEGRAPH RD, SUITE F2, BLOOMFIELD HILLS, MI 48301-1716
(248) 646-3323
(248) 646-3355
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4301033116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0635819
OLD MEDICARE LEGACY
MI
01
—
0635845
BCBSM LEGACY NUMBER
MI
01
—
0P58840
NEW MEDICARE PTAN
MI
01
—
207VG0400X
PROVIDER TAXONOMY
MI
Enumeration date
05/15/2008
Last updated
09/12/2008
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