Dermatology Specialists of Canton, PLLC
NPI 1003069014ActiveOrganization· Dermatology· Canton, MI
Dermatology in Canton, Michigan, registered in NPPES in November 2008. The authorized official on file is Iltefat H. Hamzavi, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003069014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2008 |
| Last updated in NPPES | Mar 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 4301067985 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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