Acclaim Dermatology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

N9338 Issued in TX

Legal business name

ACCLAIM DERMATOLOGY LLC

Practice address

17510 W Grand Pkwy S
Suite 385
Sugar Land, TX 77479-2645

Phone

(832) 770-6388

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By 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

Syed Omar Ali, M.D.NPI 1821165143

Title

Owner

Phone

(832) 770-6388

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Syed Omar Ali, M.D.

  • Dermatology Physician
  • West Hills, CA
  • NPI 1821165143
  NPD Authorized official

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1760852644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "SUITE 385",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "832-770-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "SUITE 385",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "832-770-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-770-6388",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N9338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.