MEDICARE: AZHAR ALANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1124723507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZHAR ALANI

Provider Business Mailing Address
First Line	:	538 1/2 WATERVLIET AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-2543
Country	:	US
Telephone Number	:	442-228-1040
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 E APPLE ST STE 6257
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45409-2932
Country	:	US
Telephone Number	:	937-208-4384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	12/24/2025

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Directions to “ AZHAR ALANI ” Practice Location

Language	Start Address	Practice Location

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