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1184619637

NPI Code Detail

MEDICARE: ALAN B ENGEL MD

MEDICARE: ALAN B ENGEL MD

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	2085R0202X	Diagnostic Radiology Physician	01040471	IN
2	2085N0700X	Neuroradiology Physician	01040471	IN
3	2085N0904X	Nuclear Radiology Physician	01040471	IN
4	2085P0229X	Pediatric Radiology Physician	01040471	IN
5	2085B0100X	Body Imaging Physician	01040471	IN
6	2085R0203X	Therapeutic Radiology Physician	01040471	IN
7	2085R0204X	Vascular & Interventional Radiology Physician	01040471	IN
8	2085U0001X	Diagnostic Ultrasound Physician	01040471	IN
9	2085R0202X	Diagnostic Radiology Physician	4301067495	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184619637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN B ENGEL MD

Provider Business Mailing Address
First Line	:	3264 N EVERGREEN DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-9746
Country	:	US
Telephone Number	:	616-363-7272
Fax Number	:	616-361-5828

Provider Business Practice Location Address
First Line	:	3264 N EVERGREEN DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-9746
Country	:	US
Telephone Number	:	616-363-7272
Fax Number	:	616-361-5828

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	08/01/2025

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Directions to “ ALAN B ENGEL MD” Practice Location

Language	Start Address	Practice Location

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