Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derma Glow Med Spa Corp

Organization General Practice Physician · NPI 1043054497

Derma Glow Med Spa Corp is a General Practice Physician in Fairview Park, Ohio. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22237 Lorain Rd
Fairview Park, OH 44126-3315
Phone: (440) 641-1406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1043054497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Shojayi — Medical Director · (440) 641-1406
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 30, 2024
Certification dateJune 30, 2024
Mailing address22237 Lorain Rd, Fairview Park, OH 44126-3315

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