Provider Demographics
NPI:1366706301
Name:SYED M ALA MD PLLC
Entity type:Organization
Organization Name:SYED M ALA MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-736-9340
Mailing Address - Street 1:44321 DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1023
Mailing Address - Country:US
Mailing Address - Phone:847-736-9340
Mailing Address - Fax:
Practice Address - Street 1:41750 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-2679
Practice Address - Country:US
Practice Address - Phone:734-398-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099103207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty