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SRIMANASI JAVVAJI MD NPI 1750630125


NPI Information

NPI: 1750630125
Provider Name: SRIMANASI JAVVAJI, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
2500 S 8TH AVE
YUMA, AZ
ZIP 85364
Phone: (928) 788-0785
Get Directions

Srimanasi Javvaji, MD is a mohs-micrographic surgery dermatology in Yuma, AZ with 12 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Srimanasi Javvaji, MD NPI is 1750630125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

2500 S 8TH AVE
YUMA, AZ
ZIP 85364-118
Phone: (928) 788-0785

The NPI 1750630125 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2012 and was last updated on 10/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyR3351TEXASNo
2207N00000XDermatology3116-320WISCONSINNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryA141780CALIFORNIANo
4207ND0101XDermatologyMOHS-Micrographic Surgery68538ARIZONANo
5207R00000XInternal Medicine125.061605ILLINOISNo
6207ND0101XDermatologyMOHS-Micrographic SurgeryR3351TEXASYes
7207ND0101XDermatologyMOHS-Micrographic Surgery74511MINNESOTANo
8207ND0101XDermatologyMOHS-Micrographic Surgery2023009444MISSOURINo
9207ND0101XDermatologyMOHS-Micrographic Surgery94587GEORGIANo
10207ND0101XDermatologyMOHS-Micrographic Surgery35.147986OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11750630125MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.