NELDAGAE S CHISA MD – NPI #1386655926
Non-Pharmacy Dispensing Site

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

NELDAGAE S CHISA MD is a non-pharmacy dispensing site located in BLOOMFIELD HILLS, MI. NPPES has assigned the NPI number 1386655926 to NELDAGAE S CHISA MD on August 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NELDAGAE S CHISA MD” is a dba name, the actual legal business name for this organization is OAKLAND DERMATOLOGY ASSOCIATES. The primary taxonomy selected by this provider is 332900000X from the Health Care Provider Taxonomy code set, which is classified as Non-Pharmacy Dispensing Site.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 NELDAGAE S CHISA MD below.

NPI Profile for
OAKLAND DERMATOLOGY ASSOCIATES

NPI Number
1386655926
Enumeration Date

(about 20 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
OAKLAND DERMATOLOGY ASSOCIATES
Doing Business As (dba): NELDAGAE S CHISA MD
Primary location
36700 WOODWARD AVE
BLOOMFIELD HILLS, MI 48304-0926
Phone: (248) 647-5750 Fax: (248) 647-6008
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NELDAGAE CHISA
PRESIDENT OWNER
Phone: (248) 647-5015
Updated
Identifiers

Identifiers for NELDAGAE S CHISA MD

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
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER2368466
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
332900000X
- Non-Pharmacy Dispensing Site (Primary)
MI 4301022545

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.