MEDICARE: DR. MARY K ALANI MD

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	207VG0400X	Gynecology Physician	4301033116	MI

General Provider Information

NPI Number	:	1750372678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY K ALANI MD

Provider Business Mailing Address
First Line	:	6405 TELEGRAPH RD
Second Line	:	BLDG F STE 2
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301
Country	:	US
Telephone Number	:	248-646-3323
Fax Number	:	248-646-3355

Provider Business Practice Location Address
First Line	:	6405 TELEGRAPH RD
Second Line	:	BLDG F STE 2
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301
Country	:	US
Telephone Number	:	248-646-3323
Fax Number	:	248-646-3355

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	08/16/2007

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