Provider Demographics
NPI:1194797035
Name:ANTONE, MAY M (MD)
Entity type:Individual
Prefix:DR
First Name:MAY
Middle Name:M
Last Name:ANTONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:
Other - Last Name:MOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:29275 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034
Mailing Address - Country:US
Mailing Address - Phone:248-423-7000
Mailing Address - Fax:248-423-7077
Practice Address - Street 1:29275 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-423-7000
Practice Address - Fax:248-423-7077
Is Sole Proprietor?:No
Enumeration Date:2006-02-05
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301073058207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H50820Medicare UPIN
OP28500Medicare UPIN