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Derma Glow Med Spa Corp

NPI 1043054497ActiveOrganization· General Practice· Fairview Park, OH

General Practice in Fairview Park, Ohio, registered in NPPES in June 2024. The authorized official on file is Nina Kazemi Shojayi, MD, Medical Director.

Overview

NPI1043054497
StatusActive
Entity typeOrganization
NPI issuedJun 20, 2024
Last updated in NPPESJun 30, 2024
Certified by providerJun 30, 2024

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general practitioners in Fairview Park

All general practitioners in Ohio