ABDALLAH KHOURDAJI – NPI #1477729291
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Health Care Provider Taxonomy Code for Dermatology

ABDALLAH KHOURDAJI is a dermatologist located in LODI, CA. NPPES has assigned the NPI number 1477729291 to ABDALLAH KHOURDAJI on May 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABDALLAH KHOURDAJI” is a dba name, the actual legal business name for this organization is FAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 18 years ago on Jun 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABDALLAH KHOURDAJI below.

NPI Profile for
FAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC

NPI Number
1477729291
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC
Doing Business As (dba): ABDALLAH KHOURDAJI
Primary location
801 S HAM LN STE A
LODI, CA 95242-7502
Phone: (209) 333-6110 Fax: (209) 333-0724
Mailing address
Same as primary location
Organization Subpart
Yes - ABDALLAH KHOURDAJI is subpart of another organization.
Authorized Official
ABDALLAH KHOURDAJI
PRESIDENT
Phone: (209) 333-6110
Updated
Identifiers

Identifiers for ABDALLAH KHOURDAJI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLEGACY ID#CA00A341430
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)		 CA 00A341430

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.