Fairmont Dermatology Medical Associates Inc in Lodi - Dermatology
Fairmont Dermatology Medical Associates Inc - NPI 1477729291
Fairmont Dermatology Medical Associates Inc is a Dermatology in Lodi, California. Fairmont Dermatology Medical Associates Inc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Fairmont Dermatology Medical Associates Inc is 1477729291. The last update date is 2008-06-13.
Fairmont Dermatology Medical Associates Inc's current location address is 801 S Ham Ln Ste A, Lodi, California. You can contact this provider via phone number 2093336110 and fax number 2093330724. The mailing address for Fairmont Dermatology Medical Associates Inc is 801 S Ham Ln Ste A, Lodi, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairmont Dermatology Medical Associates Inc |
|---|---|
| Address | 801 S Ham Ln Ste A, Lodi, California |
| Phone Number | 2093336110 |
| Fax Number | 2093330724 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Khourdaji Abdallah |
| Credentials | MD |
| Telephone Number | 2093336110 |
NPI Number Detail
| NPI Number | 1477729291 |
|---|---|
| Provider Enumeration Date | 2008-05-01 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 801 S Ham Ln Ste A |
|---|---|
| City | Lodi |
| State | California (CA) |
| Post Code | 952427502 |
| Phone Number | 2093336110 |
| Fax Number | 2093330724 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 00A341430 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A341430 | CA | LEGACY ID# |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fairmont Dermatology Medical Associates Inc by the Centers for Medicare & Medicaid Services?
The Fairmont Dermatology Medical Associates Inc has been issued the NPI (National Provider Identifier) 1477729291, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fairmont Dermatology Medical Associates Inc is located?
The Fairmont Dermatology Medical Associates Inc is situated at the following address: 801 S Ham Ln Ste A, Lodi, CA, 952427502.
What is Fairmont Dermatology Medical Associates Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fairmont Dermatology Medical Associates Inc is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date was the 1477729291 assigned to Fairmont Dermatology Medical Associates Inc?
The Fairmont Dermatology Medical Associates Inc was issued its 1477729291 on 2008-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Fairmont Dermatology Medical Associates Inc most recently updated?
The details pertaining to the Fairmont Dermatology Medical Associates Inc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-13.