DEARBORN MEDICAL CLINIC
NPI 1063725620
General Practice in Dearborn, MI

Active since July 23, 2010
15401 W WARREN AVE, DEARBORN, MI 48126(313) 581-0909(313) 581-3252 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Practice

About DEARBORN MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Dearborn Medical Clinic, a primary care provider established in Dearborn, Michigan operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1063725620 assigned on July 2010. The practitioner's primary taxonomy code is 208D00000X with license number 4301045768 (MI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Dearborn Medical Clinic. The authorized official of this NPI record is Mohammad Derani M.d. (Owner)

NPI
1063725620 Verify this NPI
Provider Legal Name
MOHAMMAD DERANI MD PC
Other Organization Name
DEARBORN MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15401 W WARREN AVE DEARBORN, MI 48126
Location Phone
(313) 581-0909
Location Fax
(313) 581-3252
Mailing Address
15401 W WARREN AVE DEARBORN, MI 48126
Mailing Phone
(313) 581-0909
Mailing Fax
(313) 581-3252
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2010
Last Update Date
02-18-2014
Code Navigator

A primary care provider (PCP) like Dearborn Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301045768
License State
MI
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOHAMMAD DERANI M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(313) 581-0909

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
190127-10MEDICAID (05)MI 
A74079MEDICARE UPIN (02)MI 
0824892MEDICARE PIN (08)MI 

Reviews for DEARBORN MEDICAL CLINIC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
15401 W WARREN AVE
DEARBORN, MI 48126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063725620, enumerated as an "organization" on July 23, 2010.

The provider is located at 15401 W WARREN AVE DEARBORN, MI 48126 and the phone number is (313) 581-0909.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.