Provider Demographics
NPI:1326231390
Name:ALANEE, SHAHEEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHEEN
Middle Name:R
Last Name:ALANEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAHEEN
Other - Middle Name:RIADH
Other - Last Name:ABDULLAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:998 TOP VIEW RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-3158
Mailing Address - Country:US
Mailing Address - Phone:248-330-4483
Mailing Address - Fax:
Practice Address - Street 1:1501 S CENTER RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-1731
Practice Address - Country:US
Practice Address - Phone:810-742-3400
Practice Address - Fax:810-742-2534
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2020-02-05
Deactivation Date:2020-01-22
Deactivation Code:
Reactivation Date:2020-02-04
Provider Licenses
StateLicense IDTaxonomies
IL036-133195208800000X
MI4301109837208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036133195Medicaid
IL036133195Medicaid