Sun State Dermatology, LLC
NPI 1093496432ActiveOrganization· Dermatology· Maitland, FL
Dermatology in Maitland, Florida, registered in NPPES in July 2023. The authorized official on file is Nathoo K. Rajiv, MD, Practice Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093496432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2023 |
| Last updated in NPPES | Jan 6, 2024 |
| Certified by provider | Jan 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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