Dermatology Specialists Of Canton, Pllc

LBN: Dermatology Specialists Of Canton, Pllc
Dermatology Specialists Of Canton, Pllc is an health care organization with primary practice located at 285 N Lilley Rd , Canton MI 48187-3907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Specialists Of Canton, Pllc can be contacted via phone (734) 495-1506, or through Hamzavi, Iltefat H. via phone (734) 495-1506.

Contact Information

Primary practice address
285 N Lilley Rd Canton MI 48187-3907
Phone: (734) 495-1506
Fax: (734) 495-1780
Website:
Map and Directions
Authorized official contact:
Name: Hamzavi, Iltefat H. Doctor of Medicine (MD)
Phone: (734) 495-1506

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301067985 Michigan

Profile Details

NPI number 1003069014
LBN Legal business name Dermatology Specialists Of Canton, Pllc
DBA Doing business as
Authorized official Hamzavi, Iltefat H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2008
Last updated Mar 15th, 2011 - about 13 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 1003069014 NPPES
Michigan Other DO8072 RAILROAD MEDICARE

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