| NPI | 1063782621 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-01-12 |
| Last Updated | 2026-02-05 |
| Authorized Official | Mohiba Tareen Owner Phone: 7345461760 |
| Mailing Address | 2720 Fairview Ave N Ste 200 Roseville, MN 55113-1306 United States Phone: (651) 633-6883 | Fax: (651) 528-6276 📍 View Map |
| Primary Practice Address | 2720 Fairview Ave N Ste 200 Roseville, MN 55113-1306 United States Phone: (651) 633-6883 | Fax: (651) 528-6276 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332900000X – Non-Pharmacy Dispensing Site | — | — |
| Yes | 207N00000X – Dermatology | MN | 54002 |
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About NPI 1063782621
Tareen Dermatology, P.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1063782621. The primary specialty listed is Dermatology. The organization is located in Roseville, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-01-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063782621?
NPI 1063782621 belongs to Tareen Dermatology, P.a., a Dermatology in Roseville, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063782621 active?
The current status of NPI 1063782621 in the NPPES registry is Active. The record was last updated on 2026-02-05.
What specialty is NPI 1063782621?
NPI 1063782621 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063782621?
You can verify NPI 1063782621 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063782621?
The primary practice address on file for NPI 1063782621 is 2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063782621 issued?
NPI 1063782621 was first issued (enumerated) on 2012-01-12. The NPPES record was last updated on 2026-02-05.
Practice Location Map
Tareen Dermatology, P.a. is located at 2720 Fairview Ave N Ste 200, Roseville, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tareen Dermatology, P.a.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063782621. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | 54002 | MN |