Hany Deirawan MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HANY DEIRAWAN MD PLLC

Doing business as

DeiraDerm Dermatology & Cosmetic Surgery

Practice address

22720 Michigan Ave Ste 301
Dearborn, MI 48124-2035

Phone

(248) 906-8339

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Hany Deirawan, MDNPI 1366804569

Title

Owner

Phone

(248) 903-8339

Specialties & licenses 1

Addresses

Other names 1

• DeiraDerm Dermatology & Cosmetic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hany Deirawan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Bismarck, ND
  • NPI 1366804569

  Dermatology, MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1437831922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 301",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242035",
            "telephone_number": "248-906-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 301",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242035",
            "telephone_number": "248-906-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Keewahdin Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Gratiot",
            "state": "MI",
            "postal_code": "480593526",
            "country_code": "US",
            "telephone_number": "810-455-1600",
            "fax_number": "810-455-1620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43151 Dalcoma Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386306",
            "country_code": "US",
            "telephone_number": "586-286-8720",
            "fax_number": "586-286-8723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANY DEIRAWAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "DEIRAWAN",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-903-8339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeiraDerm Dermatology & Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeiraDerm Dermatology & Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.