Heidelberg Dermatology, P.C. in Detroit - Dermatology
Heidelberg Dermatology, P.C. - NPI 1124045075
Heidelberg Dermatology, P.C. is a Dermatology in Detroit, Michigan. Heidelberg Dermatology, P.C. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Heidelberg Dermatology, P.C. is 1124045075. The last update date is 2015-12-02.
Heidelberg Dermatology, P.C.'s current location address is 20400 Livernois Ave, Detroit, Michigan. You can contact this provider via phone number 3138643766 and fax number 3138648134. The mailing address for Heidelberg Dermatology, P.C. is 20400 Livernois Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heidelberg Dermatology, P.C. |
|---|---|
| Address | 20400 Livernois Ave, Detroit, Michigan |
| Phone Number | 3138643766 |
| Fax Number | 3138648134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Heidelberg A. Karen |
| Credentials | M.D. |
| Telephone Number | 3138643766 |
NPI Number Detail
| NPI Number | 1124045075 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2015-12-02 |
Provider Mailing Address Detail
| Address | 20400 Livernois Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482211348 |
| Phone Number | 3138643766 |
| Fax Number | 3138648134 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 4301066952 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0H28011 | MI | BLUE CROSS SHIELD MICHIGA |
Post Comment/ Review Below
What is the Heidelberg Dermatology, P.C.'s 1124045075?
The Heidelberg Dermatology, P.C.'s NPI (National Provider Identifier) Number is 1124045075. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Heidelberg Dermatology, P.C. is physically located?
The Heidelberg Dermatology, P.C. is situated at the following address: 20400 Livernois Ave, Detroit, MI 482211348.
What is the Heidelberg Dermatology, P.C.'s area of specialization and corresponding taxonomy classification?
The Heidelberg Dermatology, P.C.'s specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Heidelberg Dermatology, P.C. receive its 1124045075 assignment from the Centers for Medicare & Medicaid Services?
The Heidelberg Dermatology, P.C. was assigned its 1124045075 by the Centers for Medicare & Medicaid Services on 2006-07-16.
When was the information pertaining to Heidelberg Dermatology, P.C. most recently updated or revised?
The details related to Heidelberg Dermatology, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2015-12-02.