Provider Demographics
NPI:1407835507
Name:ALKAN, SERHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SERHAN
Middle Name:
Last Name:ALKAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7480 SW 40TH ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6600
Mailing Address - Country:US
Mailing Address - Phone:786-252-0957
Mailing Address - Fax:786-513-0175
Practice Address - Street 1:7480 SW 40TH ST
Practice Address - Street 2:SUITE 700
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6600
Practice Address - Country:US
Practice Address - Phone:786-252-0957
Practice Address - Fax:786-513-0175
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36094977207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36094977Medicaid
IL244700Medicare ID - Type Unspecified
IL36094977Medicaid