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

Dermatology Specialists of Canton, PLLC

Organization Dermatology Physician · NPI 1003069014

Dermatology Specialists of Canton, PLLC is a Dermatology Physician in Canton, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

285 N Lilley Rd
Canton, MI 48187-3907
Phone: (734) 495-1506
Fax: (734) 495-1780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301067985 (MI)

Record details

NPI number1003069014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iltefat Hamzavi — President · (734) 495-1506
NPI enumeratedNovember 4, 2008
Last updated in NPPESMarch 15, 2011
Mailing address43151 Dalcoma Drive, Suite 6, Clinton Township, MI 48038

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