Provider Demographics
NPI:1124094651
Name:KAHANA, ALON (MD)
Entity type:Individual
Prefix:DR
First Name:ALON
Middle Name:
Last Name:KAHANA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39000 7 MILE RD STE 2400
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1006
Mailing Address - Country:US
Mailing Address - Phone:248-800-1177
Mailing Address - Fax:248-800-1178
Practice Address - Street 1:39000 7 MILE RD STE 2400
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1006
Practice Address - Country:US
Practice Address - Phone:248-800-1177
Practice Address - Fax:248-800-1178
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301089523207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34630200Medicaid
WI34630200Medicaid
I27478Medicare UPIN
043G15875Medicare ID - Type Unspecified