Dearborn Medical Clinic

LBN: Mohammad Derani Md Pc
Dearborn Medical Clinic is an health care organization with primary practice located at 15401 W Warren Ave , Dearborn MI 48126-1359. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Mohammad Derani Md Pc can be contacted via phone (313) 581-0909, or through Derani, Mohammad via phone (313) 581-0909.

Contact Information

Primary practice address
15401 W Warren Ave Dearborn MI 48126-1359
Fax: (313) 581-3252
Website:
Authorized official contact:
Name: Derani, Mohammad Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301045768 Michigan

Profile Details

NPI number 1063725620
LBN Legal business name Mohammad Derani Md Pc
DBA Doing business as Dearborn Medical Clinic
Authorized official Derani, Mohammad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2010
Last updated Feb 18th, 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 1063725620 NPPES
Michigan MEDICAID 190127-10

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