DR. MEHRAN MIRKAZEMI (NPI# 1811967268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811967268 |
| Entity Type | Individual |
| Full Name | DR. MEHRAN MIRKAZEMI |
| Credential | D.O. |
| Practice Address |
22190 Garrison St S301 Dearborn MI 48124-2260 |
| Practice Telephone | 3135612622 |
| Practice Fax Number | 3135612774 |
| Mailing Telephone | 3135612622 |
| Mailing Fax Number | 3135612774 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5101013208 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4406640 | 05 |
| Street Address |
22190 GARRISON ST S301 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1245412170 | Mehran Mirkazemi, D.o. Pllc | Surgery | 22190 Garrison St, Suite 301, Dearborn, MI 48124-2260 | 2007-12-03 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568889251 | Independent Medical Associates PC | Specialist | 24825 Michigan Ave Ste B, Dearborn, MI 48124-1758 | 2014-03-20 |
| 1740544550 | Angela Patricia - Galeano Carlson | Specialist | 23910 Oak St, Dearborn, MI 48128-2202 | 2012-06-26 |
| 1427239458 | William G Nutting M.d.p.c. | Specialist | 1637 Monroe St, Dearborn, MI 48124-2912 | 2007-11-19 |
| 1548463151 | Susan Kusner | Specialist | 13020 Osborne St, Dearborn, MI 48126-3640 | 2007-06-10 |
| 1194859314 | Darapen C Chivalak | Specialist | 1640 Monroe St, Dearborn, MI 48124-2913 | 2007-03-16 |
| 1821159690 | Kirsten Clark | Specialist | 20031 Carlysle St, Suite 3, Dearborn, MI 48124-3803 | 2006-12-13 |
| 1306880471 | Hyun Sik Chang | Specialist | 3815 Pelham, Suite 5, Dearborn, MI 48124-3852 | 2006-06-16 |
| 1184664302 | John J. Bernick | Specialist | 751 S Military St, Dearborn, MI 48124-2107 | 2006-06-07 |
| 1710943683 | Peter L. Stevenson, Md, PC | Specialist | 2100 Monroe Street, Dearborn, MI 48124 | 2006-04-21 |
| 1134195480 | Raghda Chwikani | Specialist | 10326 W Warren Ave, Dearborn, MI 48126-1659 | 2006-02-27 |
| 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.