DR. ILTEFAT H HAMZAVI (NPI# 1538117866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538117866 |
| Entity Type | Individual |
| Full Name | DR. ILTEFAT H HAMZAVI |
| Credential | MD |
| Practice Address |
285 N Lilley Rd Canton MI 48187-3907 |
| Mailing Address |
43151 Dalcoma Dr Suite 6 Clinton Twp MI 48038-6306 |
| Practice Telephone | 7344951506 |
| Practice Fax Number | 7344951780 |
| Mailing Telephone | 5862868720 |
| Mailing Fax Number | 5862868723 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
IH067985 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4366320 | 05 | |
| MI | 4366016 | 05 | |
| MI | RAILROAD MEDICARE | CB4874 | 01 |
| Street Address |
285 N LILLEY RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125065 | Thomas Powell Waldinger | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2005-06-24 |
| 1649629510 | Chelsea Luther | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2016-06-10 |
| 1336593169 | Kimberly Simons | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2016-04-18 |
| 1366811515 | Sara Elizabeth Hayes | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2015-09-17 |
| 1003069014 | Dermatology Specialists of Canton, Pllc | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2008-11-04 |
| 1538328547 | Marsha D Henderson | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2008-06-04 |
| 1528260627 | Andrea Elizabeth Schrieber | Dermatology | 285 N Lilley Rd, Dermatology Specialists of Canton, Canton, MI 48187-3907 | 2007-06-01 |
| 1427009729 | Ali A Berry | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508940644 | Jafar Koupaie | Dermatology | 95 Washington St, Canton, MA 02021-4006 | 2006-10-25 |
| 1295819290 | Canton Dermatology Clinic, Inc | Dermatology | 95 Washington St, Canton, MA 02021-4006 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508366279 | United Dermatology Associates Pllc | Dermatology | 6500 Schaefer Rd Ste B, Dearborn, MI 48126-1813 | 2018-02-19 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1144554247 | Soft Medical, PC | Dermatology | 4455 Wilson Ave Sw, Grandville, MI 49418-2366 | 2009-09-23 |
| 1942468616 | A Z Dermatology PC | Dermatology | 25225 Greenfield, Southfield, MI 48075 | 2008-05-29 |
| 1043350531 | Michael J Redmond | Dermatology | 16826 Newburgh Rd, Livonia, MI 48154-1600 | 2007-02-07 |
| 1982766465 | James Joseph Simons | Dermatology | 999 6th St, Traverse City, MI 49684-2301 | 2006-12-14 |
| 1023033255 | Raymond J Dean | Dermatology | 3643 W Front St Ste A, Traverse City, MI 49684-7760 | 2006-07-12 |
| 1376083436 | Forefront Dermatology, S.c. | Dermatology | 42452 Hayes Rd, Suite 3, Clinton Township, MI 48038 | 2017-03-08 |
| 1487063392 | Forefront Dermatology, S.c. | Dermatology | 1000 E Paris Ave Se, Suite 214, Grand Rapids, MI 49546 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
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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.