Abraham Abdulhak, MD
Individual provider Active NPI MOHS-Micrographic Surgery Physician · Dearborn, MI
NPI 1548752793 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1548752793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- MOHS-Micrographic Surgery Physician 207ND0101X
- License
- 4301509082 (MI)
- Practice address
- 24924 Michigan Ave
Dearborn, MI 48124-1740 - Phone
- (313) 631-3550
- NPI assigned
- Jun 4, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Wayne State University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology Institute of Detroit, PLLC
S L Husain Hamzavi MD PC
Jennifer Caudill, MD PLLC
Practice addresses (Care Compare)
24924 Michigan Ave
Dearborn, MI 48124-1740
Phone (313) 631-3550
2950 Keewahdin Rd
Fort Gratiot, MI 48059-3526
Phone (810) 455-1600
5885 S Main St
Suite 1
Clarkston, MI 48346-2981
Phone (248) 623-9700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 131 |
| Removal of skin lesions | 59 |
| Removal of skin cancer | 434 |
| Skin biopsy | 46 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230731001974 | MI | Practitioner - Dermatology | 5799030029 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301509082 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Institute of Detroit PLLC | Dermatology | Current |
Accepting new patients |
| Jennifer Caudill, MD PLLC | Dermatology | Current |
Accepting new patients |
| S L Husain Hamzavi MD PC | Dermatology | Current |
Accepting new patients |
Locations
285 N Lilley Rd
Canton, MI 48187
Phone (734) 495-1506
5885 S Main St
Ste 1
Clarkston, MI 48346
Phone (248) 620-1900
43151 Dalcoma Dr
Ste 1
Clinton Twp, MI 48038
Phone 5862868720308
24924 Michigan Ave
Dearborn, MI 48124
Phone (313) 274-8522
2950 Keewahdin Rd
Fort Gratiot, MI 48059
Phone (810) 455-1600
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00414
- aabdulhak@hdc.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301509082 | MI | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 4301509082 | MI | Yes |
Addresses
Primary practice location
24924 Michigan Ave
Dearborn, MI 48124-1740
Mailing address
24924 Michigan Ave
Dearborn, MI 48124-1740
Phone (313) 663-0099
Other providers in Dearborn, MI
- Mayada Abdul-Aziz
- Layla Abdul-Ghani
- Ahmed Abdulbagi
- Abdullatif Abdulghani
- Abdulhadi Sinan MD PC
- Taha Abduljabar
- Mariam Abduljabbar
- Mahmoud Najib Abdulkarim
- Mehad Taha Abdulkarim
- Husam Ahmad Abdulkhaleq
All providers in Dearborn, MI · MOHS-Micrographic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.