Az Dermatology Llc

LBN: Az Dermatology Llc
Az Dermatology Llc is an health care organization with primary practice located at 4540 E Baseline Rd Ste 109 , Mesa AZ 85206-4616. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Az Dermatology Llc can be contacted via phone (480) 982-3337, or through Gamoth, Jayshri via phone (480) 982-3337.

Contact Information

Primary practice address
4540 E Baseline Rd Ste 109 Mesa AZ 85206-4616
Fax: (520) 374-2467
Website:
Authorized official contact:
Name: Gamoth, Jayshri Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1508035411
LBN Legal business name Az Dermatology Llc
DBA Doing business as
Authorized official Gamoth, Jayshri Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Oct 2nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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