Organization Active NPI

United Dermatology Associates PLLC

  • Procedural Dermatology Physician
  • Dearborn, MI
National Provider Identifier
1508366279
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
LH0105084 Issued in MI
Legal business name
UNITED DERMATOLOGY ASSOCIATES PLLC
Practice address
6500 Schaefer Rd Ste B
Dearborn, MI 48126-1813
Phone
(313) 584-7900
NPI assigned
Feb 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Abdulhassan Saad, MD
Title
MD
Phone
(313) 584-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X LH0105084 MI Primary

Addresses

Primary practice location

6500 Schaefer Rd Ste B
Dearborn, MI 48126-1813

Mailing address

6500 Schaefer Rd Ste B
Dearborn, MI 48126-1813
Phone (313) 584-7900

National Provider Directory

National Provider Directory

Locations

6500 Schaefer Rd
Ste B
Dearborn, MI 48126
Phone (313) 584-7900

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1508366279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SCHAEFER RD STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261813",
            "telephone_number": "313-584-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SCHAEFER RD STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261813",
            "telephone_number": "313-584-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DERMATOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "ABDULHASSAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-584-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "LH0105084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.