Dermatology Institute of Detroit PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

DERMATOLOGY INSTITUTE OF DETROIT PLLC

Practice address

24924 Michigan Ave
Dearborn, MI 48124-1740

Phone

(313) 631-3550

NPI assigned

Jun 29, 2023

Last updated

Mar 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Abdulhak, MDNPI 1548752793

Title

Medical Director / Dermatologist

Phone

(313) 663-0099

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00414

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abraham Abdulhak, MD

  • MOHS-Micrographic Surgery Physician
  • Dearborn, MI
  • NPI 1548752793

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Lamise Mohana, FNP-BC

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1841802584
  Medicare reassignment Care Compare group NPD
• David G Darany, DDS MS

  • Periodontics
  • Dearborn, MI
  • NPI 1164513487
  NPD (past)
• Linda Louise Dobis, D.D.S.

  • Periodontics
  • Dearborn, MI
  • NPI 1184707432
  NPD (past)
• Ana Janic, DDS

  • Periodontics
  • Warren, MI
  • NPI 1083879514
  NPD (past)
• Lloyd Wade Lariscy, DDS

  • Periodontics
  • Dearborn, MI
  • NPI 1578655809
  NPD (past)
• Alden Marvin Leib, D.D.S.,M.S.

  • Periodontics
  • Dearborn, MI
  • NPI 1407939762
  NPD (past)
• Tae-Ju Oh, DDS MS

  • Periodontics
  • Warren, MI
  • NPI 1952494163
  NPD (past)
• Jacob Steiger, DDS, MS

  • Periodontics
  • Farmington Hills, MI
  • NPI 1013060052
  NPD (past)
• William Victor Giannobile, DDS MS,DMSC

  • Periodontics
  • Boston, MA
  • NPI 1649347428
  NPD (past)
• Thiago Morelli, DDS, MS

  • Periodontics
  • Raleigh, NC
  • NPI 1952594798
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1326725524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24924 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241740",
            "telephone_number": "313-631-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24924 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241740",
            "telephone_number": "313-631-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY INSTITUTE OF DETROIT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ABDULHAK",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / DERMATOLOGIST",
        "authorized_official_telephone_number": "313-663-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Dension
• Dental Health Group of Michigan
• Lowella Camille Dequiros, NP-C
• Rohan Lalith Deraniyagala, M.D.
• Lucy Deridder
• Bryony Fawne Derose, OTR
• Frederick Nicholas Derose
• Ashley Morgan Derrig
• Firdesina Dervishi
• Archana C Desai, MD

• MOHS-Micrographic Surgery Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• MOHS-Micrographic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.