DR. NEDYALKO NEDYALKOV IVANOV


Address: 28050 Grand River Ave, Farmington Hills, MI 48336-5919
Phone: 9475217393

DR. NEDYALKO NEDYALKOV IVANOV (NPI# 1548827710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548827710
Entity Type Individual
Full Name DR. NEDYALKO NEDYALKOV IVANOV
Credential DO
Practice Address 28050 Grand River Ave
Farmington Hills
MI 48336-5919
Practice Telephone 9475217393
Practice Fax Number 2484718837
Mailing Telephone 9475217393
Mailing Fax Number 2484718837
Enumeration Date 2019-05-23
Last Update Date 2019-05-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 5151013508 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 28050 GRAND RIVER AVE
City FARMINGTON HILLS
State MI
Zip Code 48336-5919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003811662 Jyothsna Yalavarthi Internal Medicine 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2005-06-20
1649895848 Tehreem Sajjad Podiatrist 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-06-12
1700401064 Anthony Ibrahim Pharmacy 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-06-12
1700401155 Darlene Pham Emergency Medicine 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-06-11
1497370050 Lawrence Jajou Orthopaedic Surgery 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-06-10
1548885072 Ricardo Hernandez Orthopaedic Surgery 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-06-10
1669096335 Krystle Gish Family Medicine 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-05-29
1588288278 Jordan Matthew Correll Family Medicine 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-05-29
1053934760 Brandon Baroff Emergency Medicine 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-05-28
1912520651 Aaron W Hess Emergency Medicine 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2020-05-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932733375 Compassionate Attendant Care Inc Home Health 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 2020-02-25
1578123790 Jon Boynton Audiologist-Hearing Aid Fitter 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 2019-06-19
1083270078 Bethesda Home Health LLC Home Health 34445 Northwestern Hwy, Farmington Hills, MI 48336 2019-05-15
1174005227 Cisseri Health Care Home Health 28931 W 11 Mile Rd, Farmington Hills, MI 48336 2018-09-05
1326531294 April A Jackson Psychologist 24211 Farmington Road, Farmington Hills, MI 48336 2018-06-14
1083136642 Nicole Renee Cannonier Social Worker 25311 Lynford, Farmington Hills, MI 48336 2017-07-14
1174052021 Sharon Suzanne King Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21600 Tulane, Farmington Hills, MI 48336 2017-06-05
1639578909 Alyssa Kaitlyn Brecht Rehabilitation Counselor 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 2014-08-22
1184038341 Therapeutic Advantage LLC Occupational Therapist 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 2014-06-16
1952727257 Takara Orum Social Worker 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 2014-03-11
Find all providers in zip 48336

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952382079 Wendy I Sadoff Dermatology 31360 Northwestern Hwy, Farmington Hills, MI 48334-2523 2005-11-07
1013904549 Michael J Mahon Dermatology 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 2005-09-30
1255323341 Barry I Auster Dermatology 31420 Northwestern Hwy, Suite 150, Farmington Hills, MI 48334-2508 2005-08-16
1427692276 H2 Dermatology Pllc Dermatology 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 2019-11-05
1700445525 Brittany Valk Dermatology 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2019-06-06
1932698727 Katherine Corwin Dermatology 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2018-05-07
1811348089 Kelsey Robitaille Dermatology 31360 Northwestern Hwy, Farmington Hills, MI 48334-2523 2016-06-28
1285016303 Derek Hirschman Dermatology 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 2015-06-25
1043556301 Jon Blum Dermatology 32905 W 12 Mile Rd, Suite 330, Farmington Hills, MI 48334-3342 2012-12-13
1386934958 Wendy Sadoff Md Dermatology PC Dermatology 31360 Northwestern Hwy, Farmington Hills, MI 48334-2523 2011-04-15
Find all providers in FARMINGTON HILLS

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City FARMINGTON HILLS
Zip Code 48336

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Dataset Information

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.

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