Kazan Chiropractic Clinic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008405 Issued in MI

Legal business name

KAZAN CHIROPRACTIC CLINIC P.C.

Doing business as

Alpha Chiropractic Clinic P.C.

Practice address

15841 W Warren Ave
Detroit, MI 48228-3737

Phone

(313) 581-6830

NPI assigned

Aug 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kallil Ibrahim Kazan, D.C.

Title

President

Phone

(313) 581-6830

Specialties & licenses 1

Addresses

Other names 1

• Alpha Chiropractic Clinic P.C. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295849818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15841 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283737",
            "telephone_number": "313-581-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15841 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283737",
            "telephone_number": "313-581-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZAN CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZAN",
        "authorized_official_first_name": "KALLIL",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-581-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Chiropractic Clinic P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaser Fathi Kawar, M.D.
• Stacy Kay, DDS
• Kimberly Sue Kaylor, F.N.P.
• Ramarao Kaza, MD
• Suman Kaza, MD
• Rowyda Kazan
• Vanna Kazarian, AGACNP- BC, FNP-BC
• Alia Y Kazi, MD
• Ameena Kazi, M.D.
• Kulsum Kazi, M.D.

• Chiropractor in Detroit, MI
• Providers in Detroit, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.