Arizona Skin & Dermatology, P.C.
NPI 1619378098ActiveOrganization· Dermatology· Glendale, AZ
Dermatology in Glendale, Arizona, registered in NPPES in September 2014. The authorized official on file is Manntej Sra, M.D., Ceo.
Overview
| NPI | 1619378098 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2014 |
| Last updated in NPPES | Jan 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
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 |
|---|
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