Healthcare Provider Details

I. General information

NPI: 1275950388
Provider Name (Legal Business Name): ALON MOSHE GEVA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5640 N ADRIAN HWY # C
ADRIAN MI
49221-8318
US

IV. Provider business mailing address

5700 MONROE ST UNIT 101
SYLVANIA OH
43560-2779
US

V. Phone/Fax

Practice location:
  • Phone: 517-577-0283
  • Fax: 517-577-0536
Mailing address:
  • Phone: 419-291-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.148529
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301509882
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: