Arizona Skin and Dermatology PC
NPI 1558767962ActiveOrganization· Dermatology· Sun City, AZ
Dermatology in Sun City, Arizona, registered in NPPES in November 2014. The authorized official on file is Manntej Sra, M.D., Owner.
Overview
| NPI | 1558767962 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2014 |
| Last updated in NPPES | Nov 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Sun City
- 1124008255
- 1437166840
- 1245280031