Provider Demographics
NPI:1750372678
Name:ALANI, MARY K (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:K
Last Name:ALANI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6405 TELEGRAPH RD
Mailing Address - Street 2:BLDG F STE 2
Mailing Address - City:BLOOMFIELD TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48301
Mailing Address - Country:US
Mailing Address - Phone:248-646-3323
Mailing Address - Fax:248-646-3355
Practice Address - Street 1:6405 TELEGRAPH RD
Practice Address - Street 2:BLDG F STE 2
Practice Address - City:BLOOMFIELD TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48301
Practice Address - Country:US
Practice Address - Phone:248-646-3323
Practice Address - Fax:248-646-3355
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2007-08-16
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Provider Licenses
StateLicense IDTaxonomies
MI4301033116207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B47588Medicare UPIN
06358196161Medicare ID - Type Unspecified