Provider Demographics
NPI:1619281300
Name:KORANT, ALPESH K (MD)
Entity Type:Individual
Prefix:
First Name:ALPESH
Middle Name:K
Last Name:KORANT
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 1:1119 VILLA LINDE CT STE 37
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3410
Mailing Address - Country:US
Mailing Address - Phone:810-732-7460
Mailing Address - Fax:810-732-0466
Practice Address - Street 1:1119 VILLA LINDE CT STE 37
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3410
Practice Address - Country:US
Practice Address - Phone:810-732-7460
Practice Address - Fax:810-732-0466
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35137316208M00000X
MI4301097356207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist