EL TAL MD PC – NPI #1003290750
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

EL TAL MD PC is a dermatologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1003290750 to EL TAL MD PC on July 13, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EL TAL MD PC below.

NPI Profile for
EL TAL MD PC

NPI Number
1003290750
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EL TAL MD PC
Primary location
555 MIDTOWNE ST NE STE 301
GRAND RAPIDS, MI 49503-5729
Phone: (616) 248-8864 Fax: (616) 248-8874
Mailing address
24330 ANN ARBOR TRL
DEARBORN HEIGHTS, MI 48127-1708
Phone: (313) 312-9050 Fax:
Organization Subpart
No
Authorized Official
ABDEL EL TAL
PRESIDENT
Phone: (313) 312-9050
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
MI 4301089516

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.