Mohammad Derani MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301045768 Issued in MI

Legal business name

MOHAMMAD DERANI MD PC

Doing business as

Dearborn Medical Clinic

Practice address

15401 W Warren Ave
Dearborn, MI 48126-1359

Phone

(313) 581-0909

Fax

(313) 581-3252

NPI assigned

Jul 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad Derani, M.D.

Title

Owner

Phone

(313) 581-0909

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dearborn Medical Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1063725620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261359",
            "telephone_number": "313-581-0909",
            "fax_number": "313-581-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15401 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261359",
            "telephone_number": "313-581-0909",
            "fax_number": "313-581-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD DERANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "DERANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-581-0909",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301045768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190127-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dearborn Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tariq Mohamed
• Yassin Mohamed
• Younis Mohamed, DDS
• Zahra Mohamed
• Ali Ahmed Ali Mohamedshata, MD
• Mohammad Saleh MD PC
• Yasmine Mohammad, FNP-BC
• Mohammed a Arman MD, PC (Fairview Pathology)
• Mohammed a. Arman M.D. PC
• Mohammed M. Obeid, DO PC

• General Practice Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.