MEHRAN MIRKAZEMI, D.O. PLLC (NPI# 1245412170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245412170 |
| Entity Type | Organization |
| Organization Name | MEHRAN MIRKAZEMI, D.O. PLLC |
| Practice Address |
22190 Garrison St Suite 301 Dearborn MI 48124-2260 |
| Practice Telephone | 3135612622 |
| Practice Fax Number | 3135612774 |
| Mailing Telephone | 3135612622 |
| Mailing Fax Number | 3135612774 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DR. MEHRAN MIRKAZEMI (GENERAL SURGEON) |
| Authorized Official Telephone | 3135612622 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 5101013208 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
22190 GARRISON ST SUITE 301 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811967268 | Mehran Mirkazemi | Specialist | 22190 Garrison St, S301, Dearborn, MI 48124-2260 | 2006-01-26 |
| 1730629973 | Dashawn Lm Wallace | Counselor | 22190 Garrison St, Dearborn, MI 48124-2260 | 2017-03-07 |
| 1770906158 | Nneka J. Owens LLC | Counselor | 22190 Garrison St, Ste 204, Dearborn, MI 48124-2260 | 2014-01-21 |
| 1104194901 | Thea C Lewis Dc LLC | Chiropractor | 22190 Garrison St, 202, Dearborn, MI 48124-2260 | 2011-12-07 |
| 1568629665 | Gregory Czarnecki | Dentist | 22190 Garrison St, 302, Dearborn, MI 48124-2260 | 2008-05-18 |
| 1427258649 | Leo D Sowle | Chiropractor | 22190 Garrison St, Suite 202, Dearborn, MI 48124-2260 | 2007-07-25 |
| 1255460572 | Edward Gregory Sarkisian | Dentist | 22190 Garrison St, Suite 201, Dearborn, MI 48124-2260 | 2007-03-04 |
| 1033265830 | Nneka Jean Owens | Counselor | 22190 Garrison St, Suite 204, Dearborn, MI 48124-2260 | 2007-01-25 |
| 1336225713 | Mamnoon Ahmed Siddiqui | Dentist | 22190 Garrison St, Suite 101, Dearborn, MI 48124-2260 | 2006-10-28 |
| 1649217472 | Scott W. Riga D.d.s. P.C. | Dentist | 22190 Garrison St, Dearborn, MI 48124-2260 | 2006-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104222017 | Mi Body Contour | Surgery | 17000 Executive Plaza Dr Suite #204, Dearborn, MI 48126 | 2014-11-05 |
| 1952651671 | Mustafa Mohamad Shukr | Surgery | 7319 Oakman Blvd, Dearborn, MI 48126-1526 | 2012-09-11 |
| 1063640068 | Abubaker Ahmed Ali | Surgery | 13051 Osborne St, Apt 608, Dearborn, MI 48126-4037 | 2009-06-29 |
| 1710177852 | Hubert C Huebl | Surgery | 136 S Highland St, Dearborn, MI 48124-1444 | 2007-07-25 |
| 1730383225 | Michael Edward Geoghegan | Surgery | 22202 Beech St, Dearborn, MI 48124-2704 | 2007-06-11 |
| 1528261088 | Chadi H Faraj | Surgery | 7350 Horger St, Dearborn, MI 48126-1424 | 2007-06-11 |
| 1477754604 | Midwest Wound Care Associates, PC | Surgery | 22550 Law St, Dearborn, MI 48124-1087 | 2007-05-28 |
| 1558407361 | Fadi Baidoun Md PC | Surgery | 18181 Oakwood Blvd Ste 305, Dearborn, MI 48124-3960 | 2007-01-29 |
| 1982659504 | Joon-nahm Ann | Surgery | 4132 Schaffer, Dearborn, MI 48126-3682 | 2006-05-23 |
| 1801860705 | Daniel Bacal | Surgery | 18181 Oakwood Blvd Ste 311, Dearborn, MI 48124 | 2006-02-15 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.