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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: August 16, 2026.

About Dearborn Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEARBORN MEDICAL CLINIC (NPI 1063725620) is a healthcare organization registered as a general practice in Dearborn, Michigan and active in the NPI registry since July 2010. The organization lists Mohammad Derani, Owner, as its authorized official.

NPPES Registry Identity

NPI1063725620
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMOHAMMAD DERANI MD PC
Location Address15401 W WARREN AVEDearborn, MI 48126-1359
Mailing Address15401 W Warren AveDearborn, MI 48126-1359 · (313) 581-0909 · Fax (313) 581-3252
Phone(313) 581-0909
Fax(313) 581-3252
Organization SubpartNo
Authorized OfficialMohammad DeraniOwner · (313) 581-0909
Enumeration DateJuly 23, 2010
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1063725620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301045768
Definition
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
15401 W WARREN AVE, Dearborn, MI 48126
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Other Names 1

Doing Business AsDearborn Medical Clinic

Other Identifiers 3

Medicaid190127-10MI
Medicare UPINA74079MI
Medicare PIN0824892MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammad Derani MD PC's NPI number?

The NPI number for Mohammad Derani MD PC is 1063725620. It was assigned to this organization in the NPPES registry on July 23, 2010. The provider is doing business as Dearborn Medical Clinic.

Where is Mohammad Derani MD PC located?

Mohammad Derani MD PC is located at 15401 W Warren Ave, Dearborn, MI 48126. The listed phone number is (313) 581-0909.

What is Mohammad Derani MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mohammad Derani MD PC was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.