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SAINT PAUL DERMATOLOGY LTD NPI 1184114803


NPI Information

NPI: 1184114803
Provider Name: SAINT PAUL DERMATOLOGY LTD
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 24D0860397

Address:
400 SELBY AVE STE S
SAINT PAUL, MN
ZIP 55102
Phone: (523) 734-1239
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SAINT PAUL DERMATOLOGY LTD is a dermatology in Saint Paul, MN. The provider is 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. SAINT PAUL DERMATOLOGY LTD NPI is 1184114803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 SELBY AVE STE S
SAINT PAUL, MN
ZIP 55102-520
Phone: (523) 734-1239
Fax: (651) 383-4947

The provider's authorized official is Anastasios Pappas .
The authorized official title is Md/owner and has the following contact phone number (651) 354-8105.

The CLIA number assigned to this NPI record is 24D0860397 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2018 and was last updated on 9/20/2018.


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
1207N00000XDermatologyYes

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

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