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

Tareen Dermatology, PA

Organization Dermatology Physician · NPI 1063782621

Tareen Dermatology, PA is a Dermatology Physician in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 633-6883
Fax: (651) 528-6276
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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 54002 (MN)
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1063782621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohiba Tareen — Owner · (734) 546-1760
NPI enumeratedJanuary 12, 2012
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306

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