Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wake Dermatology Associates, PA

Organization Dermatology Physician · NPI 1497815328

Wake Dermatology Associates, PA is a Dermatology Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4414 Lake Boone Trl Ste 408
Raleigh, NC 27607-7513
Phone: (919) 781-1001
Fax: (919) 781-3909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 40537 (NC)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 40537 (NC)

Record details

NPI number1497815328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adnan Nasir — Physician, Owner · (919) 781-1001
NPI enumeratedDecember 11, 2006
Last updated in NPPESApril 4, 2011
Mailing address4414 Lake Boone Trl, Ste 408, Raleigh, NC 27607-7513

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