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Mohammad Derani Md Pc
General Practice Physician in Dearborn, Michigan
NPI 1063725620

Mohammad Derani Md Pc is a General Practice Physician based in Dearborn, MI. Mohammad Derani Md Pc practices in Dearborn, MI. The NPI Number for Mohammad Derani Md Pc is 1063725620 and holds a License No. 4301045768 (Michigan).

The current practice location address for Mohammad Derani Md Pc is 15401 W Warren Ave, Dearborn, MI and can be reached out via phone at 313-581-0909 and via fax at 313-581-3252.

Location: 15401 W Warren Ave, Dearborn, MI, 48126-1359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063725620
Provider Name
Mohammad Derani Md Pc
Credential
Provider Entity Type
Organization
Address
15401 W Warren Ave, Dearborn, MI, 48126-1359
Phone Number
313-581-0909
Fax Number
313-581-3252
Provider Enumeration Date
07/23/2010
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
190127-10 05 MI
institution
Provider Business Practice Location Address Details
Address
15401 W Warren Ave
City
Dearborn
State
Michigan
Zip
48126-1359
Phone Number
313-581-0909
Fax Number
313-581-3252
person
Provider Business Mailing Address Details
Address
15401 W Warren Ave
City
Dearborn
State
Michigan
Zip
48126-1359
Phone Number
313-581-0909
Fax Number
313-581-3252
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301045768 (Michigan)
Definition
Definition to come...
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