Provider Demographics
NPI:1518250133
Name:ALANI, MAATH (MD)
Entity Type:Individual
Prefix:
First Name:MAATH
Middle Name:
Last Name:ALANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MAADH
Other - Middle Name:
Other - Last Name:JAWAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14825 SOUTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2642
Mailing Address - Country:US
Mailing Address - Phone:313-383-7071
Mailing Address - Fax:313-551-5403
Practice Address - Street 1:14825 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2642
Practice Address - Country:US
Practice Address - Phone:313-383-7071
Practice Address - Fax:313-383-7194
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301098439207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine