Arizona Skin and Dermatology PC
NPI 1639569825ActiveOrganization· Dermatology· Coolidge, AZ
Dermatology in Coolidge, Arizona, registered in NPPES in January 2015. The authorized official on file is Manntej Sra, M.D., Owner.
Overview
| NPI | 1639569825 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2015 |
| Last updated in NPPES | Jan 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
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 Coolidge
- 1902355720