Provider Demographics
NPI:1285662387
Name:ALAVI, JANE B (MD)
Entity Type:Individual
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First Name:JANE
Middle Name:B
Last Name:ALAVI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3624 MARKET ST
Mailing Address - Street 2:SUITE 560 W
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2614
Mailing Address - Country:US
Mailing Address - Phone:215-662-2286
Mailing Address - Fax:215-615-3380
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:15 PENN TOWER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-3914
Practice Address - Fax:215-615-3380
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-02-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD021691E207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB36598Medicare UPIN
PA105211Medicare ID - Type Unspecified