Organization
MOHAMMAD DERANI MD PC
Active
Other names
Dearborn Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD DERANI M.D. (OWNER)
(313) 581-0909
Entity
Organization
Contact information
Practice address
15401 W WARREN AVE, DEARBORN, MI 48126-1359
(313) 581-0909
(313) 581-3252
Mailing address
15401 W WARREN AVE, DEARBORN, MI 48126-1359
(313) 581-0909
(313) 581-3252
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301045768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190127-10
—
MI
Enumeration date
07/23/2010
Last updated
02/18/2014
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