Healthcare Provider Details

I. General information

NPI: 1053757849
Provider Name (Legal Business Name): FERRIS ALKAZIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2013
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 GULL RD
KALAMAZOO MI
49048-1650
US

IV. Provider business mailing address

1535 GULL RD
KALAMAZOO MI
49048-1650
US

V. Phone/Fax

Practice location:
  • Phone: 269-345-1161
  • Fax:
Mailing address:
  • Phone: 269-345-1161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number04-41398
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number4301102874
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: