Basic Information
Provider Information
NPI: 1316950637
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MALANI
FirstName: ANURAG
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24 FRANK LLOYD WRIGHT DR
Address2: PO BOX 0446 LOBBY J
City: ANN ARBOR
State: MI
PostalCode: 481059484
CountryCode: US
TelephoneNumber: 7347476766
FaxNumber: 7342223100
Practice Location
Address1: 5333 MCAULEY DR
Address2: STE 6109
City: YPSILANTI
State: MI
PostalCode: 481970000
CountryCode: US
TelephoneNumber: 7347128600
FaxNumber: 7347128636
Other Information
ProviderEnumerationDate: 08/15/2006
LastUpdateDate: 09/26/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4301083419MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200X4301083419MIY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


Home