A Comprehensive Dermatology Center

LBN: A Comprehensive Dermatology Center
A Comprehensive Dermatology Center is an health care organization with primary practice located at 1575 W Big Beaver Rd Ste C12, Troy MI 48084-3536. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. A Comprehensive Dermatology Center can be contacted via phone (248) 643-7677, or through Moiin, Ali via phone (248) 643-7677.

Contact Information

Primary practice address
1575 W Big Beaver Rd Ste C12 Troy MI 48084-3536
Phone: (248) 643-7677
Fax: (248) 643-7679
Website:
Map and Directions
Authorized official contact:
Name: Moiin, Ali Doctor of Medicine (MD)
Phone: (248) 643-7677

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AM059655 Michigan

Profile Details

NPI number 1750518031
LBN Legal business name A Comprehensive Dermatology Center
DBA Doing business as
Authorized official Moiin, Ali Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2009
Last updated Nov 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750518031 NPPES
Michigan MEDICAID 4251045-10

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