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W MILYANI MD PLLC NPI 1104562404


NPI Information

NPI: 1104562404
Provider Name: W MILYANI MD PLLC

Doing Business As: FRONTIER SKIN AND CANCER

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 03D2270002

Address:
1951 MESQUITE AVE STE F
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (725) 867-7126
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W MILYANI MD PLLC is a mohs-micrographic surgery dermatology in Lake Havasu City, AZ. 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. W MILYANI MD PLLC NPI is 1104562404. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Frontier Skin And Cancer.

The provider's business location address is:

1951 MESQUITE AVE STE F
LAKE HAVASU CITY, AZ
ZIP 86403-746
Phone: (725) 867-7126

The provider's authorized official is Clinton Martin .
The authorized official title is Member and has the following contact phone number (928) 963-9333.

The CLIA number assigned to this NPI record is 03D2270002 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/9/2022 and was last updated on 1/9/2023.


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
1207N00000XDermatologyNo
2363AM0700XPhysician AssistantMedicalNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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
11396847182OTHERNPI
21497089874OTHERNPI
31538896238OTHERUTAHNPI
41013228394OTHERNPI

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.