Wake Dermatology Associates, Pa

LBN: Wake Dermatology Associates, Pa
Wake Dermatology Associates, Pa is an health care organization with primary practice located at 4414 Lake Boone Trl Ste 408, Raleigh NC 27607-7513. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Wake Dermatology Associates, Pa can be contacted via phone (919) 781-1001, or through Nasir, Adnan via phone (919) 781-1001.

Contact Information

Primary practice address
4414 Lake Boone Trl Ste 408 Raleigh NC 27607-7513
Fax: (919) 781-3909
Website:
Authorized official contact:
Name: Nasir, Adnan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 40537 North Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 40537 North Carolina

Profile Details

NPI number 1497815328
LBN Legal business name Wake Dermatology Associates, Pa
DBA Doing business as
Authorized official Nasir, Adnan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 4th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497815328 NPPES
Other 2344640 MEDICARE GROUP NUMBER
Other 02261 MEDICARE GROUP NUMBER

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