Healthcare Provider Details

I. General information

NPI: 1427345065
Provider Name (Legal Business Name): ALI ALEXANDRU ACHIRA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2011
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 GREENFIELD RD STE 2C
DEARBORN MI
48126-4124
US

IV. Provider business mailing address

9025 PARDEE RD
TAYLOR MI
48180-2755
US

V. Phone/Fax

Practice location:
  • Phone: 313-600-4669
  • Fax: 855-250-3025
Mailing address:
  • Phone: 313-600-4669
  • Fax: 855-250-3025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number4301098856
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: