TAHER REZA KERMANSHAHI (NPI# 1730343930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730343930 |
| Entity Type | Individual |
| Full Name | TAHER REZA KERMANSHAHI |
| Credential | M.D. |
| Practice Address |
18101 Oakwood Blvd Pathology Dept Dearborn MI 48123 |
| Practice Telephone | 3135937963 |
| Practice Fax Number | 3135937143 |
| Mailing Telephone | 3135937963 |
| Mailing Fax Number | 3135937143 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2016-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301108473 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2011037784 | MO | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2014-01236 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD36887 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
18101 OAKWOOD BLVD PATHOLOGY DEPT |
| City | DEARBORN |
| State | MI |
| Zip Code | 48123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568036 | Professional Emergency Care, P.C. | Internal Medicine | 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 | 2005-06-20 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1528665577 | Nadia Farhat | General Acute Care Hospital | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1992302053 | Sara Marquardt | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1790382869 | Jennifer Anne Rotter | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1184230054 | Ashley Stoeckle | Clinical Nurse Specialist | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-09-16 |
| 1841802584 | Lamise Mohana | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-08-22 |
| 1629687058 | Samantha Ross | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-31 |
| 1114535499 | Lauren E Krall | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| 1649888959 | Layale Makki | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215090840 | Michael S. Malian | Surgery | 18101 Oakwood Boulevard, Beaumont Hospital, Dearborn Trauma Svcs, Dearborn, MI 48123 | 2006-12-18 |
| 1184717738 | Spinal Therapeutics, Inc | Family Medicine | 22731 Newman Suite 102, Dearborn, MI 48123 | 2006-10-02 |
| 1386676195 | Christine Giska Westphal | Nurse Practitioner | 18101 Oakwood, Suite 126, Dearborn, MI 48123-2500 | 2006-07-06 |
| 1912179995 | Sara Ann Troyer | Pediatrics | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2008-03-30 |
| 1306040639 | Lee Ann Thorp | Pediatrics | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2007-06-12 |
| 1689680589 | Gary Lee Davis | Emergency Medicine | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2006-07-31 |
| 1003889205 | Steven Allan Acker | Orthopaedic Surgery | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2006-02-08 |
| 1235100033 | Robert P. Rubin | Podiatrist | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2006-01-30 |
| 1467604801 | Sammit K Sabharwal | Internal Medicine | 18000 Oakwood Blvd, Dearborn, MI 48123-4089 | 2008-10-16 |
| 1902920028 | Krisseda S Solomon | Personal Emergency Response Attendant | 18101 Oakwood Blvd, Emergency Dept, Dearborn, MI 48123-4089 | 2007-03-16 |
| Find all providers in zip 48123 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215245527 | Global Medical Services, PC | Pathology | 22819 Michigan Ave, Dearborn, MI 48124-2007 | 2010-09-21 |
| 1316122211 | Jeremy Powers | Pathology | 18101 Oakwood Blvd, Pathology Department, Dearborn, MI 48124 | 2008-01-09 |
| 1528279775 | Sylvia Hayek | Pathology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2007-05-26 |
| 1821014028 | Harry Zhang | Pathology | 18101 Oakwood Blvd, Oakwood Hospital Medical Center, Dearborn, MI 48124 | 2006-07-14 |
| 1326008699 | Mainwaring Pathology Group PC | Pathology | 18101 Oakwood Blvd, Oakwood Hospital Medical Center, Dearborn, MI 48124 | 2006-03-23 |
| 1316915747 | Sunghee Nam | Pathology | 18101 Oakwood Blvd, Oakwood Hospital Medical Center, Dearborn, MI 48124 | 2006-03-10 |
| 1447228887 | Hema Venkat | Pathology | 18101 Oakwood Blvd, Oakwood Hospital Medical Center, Dearborn, MI 48124 | 2006-03-10 |
| 1457329898 | Geetha M Bhandarkar | Pathology | 18101 Oakwood Blvd, Oakwood Hospital Medical Center, Dearborn, MI 48124 | 2006-03-10 |
| 1891760070 | Michael Anthony Wozny | Pathology | 18101 Oakwood Blvd, Dept. of Pathology, Dearborn, MI 48124-4089 | 2006-02-21 |
| 1770556003 | Abir Tawil | Pathology | 18101 Oakwood Blvd, Dearborn, MI 48124 | 2006-02-08 |
| 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.