Healthcare Provider Details

I. General information

NPI: 1407835507
Provider Name (Legal Business Name): SERHAN ALKAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7480 SW 40TH ST SUITE 700
MIAMI FL
33155-6600
US

IV. Provider business mailing address

7480 SW 40TH ST SUITE 700
MIAMI FL
33155-6600
US

V. Phone/Fax

Practice location:
  • Phone: 786-252-0957
  • Fax: 786-513-0175
Mailing address:
  • Phone: 786-252-0957
  • Fax: 786-513-0175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number36094977
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: