| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Dermatology |
| DEFINITION | A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| AREA OF SPECIALIZATION | Clinical & Laboratory Dermatological Immunology |
| STATUS | Active |
| VA CODE | V180501 |
| X12 CODE | 207NI0002X |
| SPECIALTY CODE | 07 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251568 |
| EFFECTIVE DATE/TIME |
|