Healthcare Provider Details

I. General information

NPI: 1902124480
Provider Name (Legal Business Name): KAREN ALKALAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2010
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28455 HAGGERTY RD STE 200
NOVI MI
48377-2982
US

IV. Provider business mailing address

6676 SOLUTIONS CTR
CHICAGO IL
60677-6006
US

V. Phone/Fax

Practice location:
  • Phone: 248-893-3220
  • Fax: 248-893-2951
Mailing address:
  • Phone: 248-893-3200
  • Fax: 248-893-2950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number4301097366
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: