Mohammad Derani MD PC

General Practice Physician · Dearborn, MI

Organization Active NPI

NPI number 1063725620

Practice location

15401 W Warren Ave
Dearborn, MI 48126-1359
Phone
(313) 581-0909
Fax
(313) 581-3252

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NPI record

NPI
1063725620
Entity type
Organization (Type 2)
Enumeration date
July 23, 2010
Last updated
February 18, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 4301045768 MI

Authorized official

Name
Mohammad Derani, M.D.
Title
Owner
Phone
(313) 581-0909

Other names

  • Dearborn Medical Clinic

About Mohammad Derani MD PC

Mohammad Derani MD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 15401 W Warren Ave, Dearborn, MI 48126-1359. The NPI number 1063725620 was assigned on July 23, 2010 and the record was last updated on February 18, 2014.

Mohammad Derani MD PC lists a license in the registry: #4301045768 (MI) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mohammad Derani, M.D., Owner.

Frequently asked questions

What is the NPI number of Mohammad Derani MD PC?

The NPI number is 1063725620.

What is the phone number of Mohammad Derani MD PC?

The phone number listed for the practice location is (313) 581-0909.

Where is Mohammad Derani MD PC located?

15401 W Warren Ave, Dearborn, MI 48126-1359.

What is the taxonomy code for Mohammad Derani MD PC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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