DR. MILAD J ESHAQ (NPI# 1952643264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952643264 |
| Entity Type | Individual |
| Full Name | DR. MILAD J ESHAQ |
| Credential | M.D. |
| Practice Address |
19900 Haggerty Road Suite 105 Livonia MI 48152 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349364054 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301103152 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
19900 HAGGERTY ROAD SUITE 105 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083733810 | Theresa M Sanford | Physician Assistant | 19900 Haggerty Road, Livonia, MI 48152-1054 | 2007-03-29 |
| 1518385962 | Regents of The University of Michigan | Hearing Aid Equipment | 19900 Haggerty Road, Livonia, MI 48152 | 2014-04-02 |
| 1528407913 | Kristy Bojazi Charles | Dermatology | 19900 Haggerty Road, Suite 105, Livonia, MI 48152 | 2013-06-18 |
| 1679720361 | James Michael Dupree Iv | Urology | 19900 Haggerty Road, Suite 111, Livonia, MI 48152-1054 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982716114 | Meena Moossavi | Dermatology | 14801 Farmington Rd, Livonia, MI 48154 | 2006-09-01 |
| 1316050388 | Audrey J Bruell | Dermatology | 37605 Pembroke Ave, Livonia, MI 48152-1050 | 2006-08-16 |
| 1790705044 | Andrew J Mitchell | Dermatology | 20234 Farmington Rd, Livonia, MI 48152-1412 | 2006-07-20 |
| 1942688452 | Anne Nguyen | Dermatology | 37605 Pembroke Ave, Livonia, MI 48152-1050 | 2015-05-16 |
| 1013395961 | Mark Goralewski | Dermatology | 14801 Farmington Rd, Livonia, MI 48154-5429 | 2015-05-12 |
| 1528407913 | Kristy Bojazi Charles | Dermatology | 19900 Haggerty Road, Suite 105, Livonia, MI 48152 | 2013-06-18 |
| 1710140785 | Stephanie Diamond | Dermatology | 16826 Newburgh Rd, Livonia, MI 48154 | 2008-07-09 |
| 1306965983 | Audrey Bruell, M.d. P.C. | Dermatology | 37605 Pembroke Ave, James James Towne, Livonia, MI 48152-1050 | 2007-03-28 |
| 1457406217 | Livonia Dermatology Pllc | Dermatology | 14801 Farmington Rd, Livonia, MI 48154-5429 | 2007-01-24 |
| 1891876538 | Consultants In Dermatology, Pllc | Dermatology | 20234 Farmington Rd, Livonia, MI 48152-1412 | 2006-10-18 |
| Find all providers in LIVONIA | ||||
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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.