A COMPREHENSIVE DERMATOLOGY CENTER NPI 1750518031

NPI Information

  • NPI: 1750518031
  • Provider Name: A COMPREHENSIVE DERMATOLOGY CENTER
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 23D0945208
  • Address: 1575 W BIG BEAVER RD
    STE C12
    TROY, MI
    ZIP 48084
  • Phone: (248) 643-7677

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NPI Details

A COMPREHENSIVE DERMATOLOGY CENTER is a specialist in Troy, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. A COMPREHENSIVE DERMATOLOGY CENTER NPI is 1750518031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1575 W BIG BEAVER RD
STE C12
TROY, MI
ZIP 48084-536
Phone: (248) 643-7677
Fax: (248) 643-7679

The provider's authorized official is Ali Moiin .
The authorized official title is Physician and has the following contact phone number (248) 643-7677.

The CLIA number assigned to this NPI record is 23D0945208 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/15/2009 and was last updated on 11/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistAM059655MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OM57970MEDICARE PINMICHIGAN
24251045-10MEDICAIDMICHIGAN
3G07643MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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