Alliance Dermatology & Mohs Center, PC
NPI 1861813156ActiveOrganization· Specialist· Phoenix, AZ
Specialist in Phoenix, Arizona, registered in NPPES in January 2014. The authorized official on file is Sadra Jazayeri, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861813156 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2014 |
| Last updated in NPPES | Jan 10, 2024 |
| Certified by provider | Jan 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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 (AZ) |
|---|
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