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ADVANCED DERMATOLOGY OF CHARLOTTESVILLE PLC NPI 1669561791


NPI Information

NPI: 1669561791
Provider Name: ADVANCED DERMATOLOGY OF CHARLOTTESVILLE, PLC

Doing Business As: ADVANCED DERMATOLOGY OF CHARLOTTESVILLE, PLC

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
600 PETER JEFFERSON PARKWAY SUITE 350
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 977-0027
Get Directions

ADVANCED DERMATOLOGY OF CHARLOTTESVILLE, PLC is a mohs-micrographic surgery dermatology in Charlottesville, VA. 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. ADVANCED DERMATOLOGY OF CHARLOTTESVILLE, PLC NPI is 1669561791. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Dermatology Of Charlottesville, Plc.

The provider's business location address is:

600 PETER JEFFERSON PARKWAY SUITE 350
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 977-0027
Fax: (434) 978-2041

The provider's authorized official is Vandana Sood Nanda .
The authorized official title is Owner and has the following contact phone number (434) 977-0027.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/27/2020.


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
1207ND0101XDermatologyMOHS-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
12145994OTHERMAMSI LIFE AND HEALTH
2187666OTHERVIRGINIAANTHEM
34368544OTHERVIRGINIAAETNA US HEALTHCARE
4413137OTHERVIRGINIASOUTHERN HEALTH

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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