Provider Demographics
NPI:1114417813
Name:MARK ALRAIS MD PC
Entity Type:Organization
Organization Name:MARK ALRAIS MD PC
Other - Org Name:BI-COUNTY PHYSICINAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALRAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-720-8322
Mailing Address - Street 1:21600 HARPER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2242
Mailing Address - Country:US
Mailing Address - Phone:586-800-1001
Mailing Address - Fax:586-800-1002
Practice Address - Street 1:21600 HARPER AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2242
Practice Address - Country:US
Practice Address - Phone:586-498-4800
Practice Address - Fax:586-800-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty