ARIZONA SKIN AND DERMATOLOGY PC
NPI 1639569825
Dermatology in Coolidge, AZ

Active since January 27, 2015
153 W CENTRAL AVE, COOLIDGE, AZ 85128(602) 529-4700(602) 529-4699 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arizona Skin And Dermatology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA SKIN AND DERMATOLOGY PC (NPI 1639569825) is a healthcare organization registered as a dermatology in Coolidge, Arizona and active in the NPI registry since January 2015. The organization lists Manntej Sra, Owner, as its authorized official.

NPPES Registry Identity

NPI1639569825
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARIZONA SKIN AND DERMATOLOGY PC
Location Address153 W CENTRAL AVECoolidge, AZ 85128-4405
Mailing Address8380 W Emile Zola Ave Ste 5116Peoria, AZ 85381-4811 · (602) 529-4700 · Fax (602) 529-4699
Fax(602) 529-4699
Organization SubpartNo
Authorized OfficialManntej SraOwner · (602) 529-4700
Enumeration DateJanuary 27, 2015
NPI 1639569825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedInternal MedicineTaxonomy 207R00000X
153 W CENTRAL AVE, Coolidge, AZ 85128

Other Identifiers 1

OtherZ171303AZ · Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
153 W CENTRAL AVE
COOLIDGE, AZ 85128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona Skin And Dermatology PC's NPI number?

The NPI number for Arizona Skin And Dermatology PC is 1639569825. It was assigned to this organization in the NPPES registry on January 27, 2015.

Where is Arizona Skin And Dermatology PC located?

Arizona Skin And Dermatology PC is located at 153 W Central Ave, Coolidge, AZ 85128. The listed phone number is (602) 529-4700.

What is Arizona Skin And Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Arizona Skin And Dermatology PC was last updated on January 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.