Organization Active NPI

Mary K Alani MD PC

  • Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1992972202
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
4301033116 Issued in MI
Legal business name
MARY K ALANI MD PC
Practice address
6405 Telegraph Rd
Suite F2
Bloomfield Hills, MI 48301-1716
Phone
(248) 646-3323
Fax
(248) 646-3355
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Mary Khachick Alani, M.D.
Title
Owner
Phone
(248) 646-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 4301033116 MI Primary

Addresses

Primary practice location

6405 Telegraph Rd
Suite F2
Bloomfield Hills, MI 48301-1716

Mailing address

6405 Telegraph Rd
Suite F2
Bloomfield Hills, MI 48301-1716
Phone (248) 646-3323

Other identifiers 4

IdentifierTypeStateIssuer
0635819OtherMIOLD MEDICARE LEGACY
0635845OtherMIBCBSM LEGACY NUMBER
207VG0400XOtherMIPROVIDER TAXONOMY
0P58840OtherMINEW MEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

6405 Telegraph Rd
Ste F2
Bloomfield Hills, MI 48301
Phone (248) 646-3323

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1992972202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "SUITE F2",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-646-3323",
            "fax_number": "248-646-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "SUITE F2",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-646-3323",
            "fax_number": "248-646-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K ALANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "ALANI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KHACHICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-646-3323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301033116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD MEDICARE LEGACY",
            "identifier": "0635819",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM  LEGACY NUMBER",
            "identifier": "0635845",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAXONOMY",
            "identifier": "207VG0400X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEDICARE PTAN",
            "identifier": "0P58840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.