Provider Demographics
NPI:1174012728
Name:ANA GROUPS LLC
Entity Type:Organization
Organization Name:ANA GROUPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:NAWAF
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:313-558-8444
Mailing Address - Street 1:22190 GARRISON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2235
Mailing Address - Country:US
Mailing Address - Phone:313-558-8444
Mailing Address - Fax:313-558-8448
Practice Address - Street 1:22190 GARRISON ST STE 300
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2235
Practice Address - Country:US
Practice Address - Phone:313-558-8444
Practice Address - Fax:313-558-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002719213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty