NPI 1154565661 · live from the CMS NPI Registry
Bishr Al Dabagh, MD
Dermatology, MOHS-Micrographic Surgery in Mooresville, NC. National Provider Identifier 1154565661, active.
NPI record
| NPI | 1154565661 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 118 Gateway Blvd Ste A, Mooresville, NC 28117 |
| Practice phone | 704-230-1302 |
| Enumerated | April 28, 2009 |
| Last updated | January 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 4301106561 (MI) |
| Dermatology | 207N00000X | MD17679 (HI) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | MD17679 (HI) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | ME142263 (FL) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 4301106561 (MI) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 49483 (AZ) |
| Dermatology, Procedural Dermatology | 207NS0135X | A125540 (CA) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | 2019-01570 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.