Allergy & Immunology Associates of Dearborn PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4301101430 Issued in MI

Legal business name

ALLERGY & IMMUNOLOGY ASSOCIATES OF DEARBORN PC

Doing business as

Allergy Associates of Dearborn

Practice address

751 S Military St
Dearborn, MI 48124-2107

Phone

(313) 274-3311

Fax

(313) 274-3311

NPI assigned

Jul 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roula Daher, MDNPI 1689938789

Title

Owner/Physician

Phone

(313) 623-7617

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allergy Associates of Dearborn Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roula Daher, MD

  • Allergy & Immunology Physician
  • Dearborn, MI
  • NPI 1689938789
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1154807337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S MILITARY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242107",
            "telephone_number": "313-274-3311",
            "fax_number": "313-274-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S MILITARY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242107",
            "telephone_number": "313-274-3311",
            "fax_number": "313-274-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & IMMUNOLOGY ASSOCIATES OF DEARBORN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "DAHER",
        "authorized_official_first_name": "ROULA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "313-623-7617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301101430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Associates of Dearborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Hus PLC
• Amanda Allen, BCBA
• Andrea Allen, CCC-SLP
• Keisha Lorene Allen
• Todd Allen, MD
• Allergy Associates of Dearborn
• Alliance Physician Services of Michigan, P.C.
• Alliance Psychology Group
• Allied Medical Home Care Corporation
• Hanadi Abdulaziz Almadani

• Allergy & Immunology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.