MEDICARE: ACHIR AHMAD ALALAMI M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP3000X	Pediatric Anesthesiology Physician	4301091786	MI

General Provider Information

NPI Number	:	1093959454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ACHIR AHMAD ALALAMI M.D

Provider Business Mailing Address
First Line	:	2404 DORCHESTER DR N APT 103
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-3742
Country	:	US
Telephone Number	:	248-275-6281
Fax Number	:

Provider Business Practice Location Address
First Line	:	2404 DORCHESTER DR N APT 103
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-3742
Country	:	US
Telephone Number	:	248-275-6281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/28/2009

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