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DERMATOLOGY ARTS PLLC NPI 1790103430


NPI Information

NPI: 1790103430
Provider Name: DERMATOLOGY ARTS, PLLC

Doing Business As: DERMATOLOGY ARTS

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 50D2107490

Address:
1414 116TH AVE NE STE E
BELLEVUE, WA
ZIP 98004
Phone: (425) 753-2918
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DERMATOLOGY ARTS, PLLC is a medical specialty clinic center in Bellevue, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DERMATOLOGY ARTS, PLLC NPI is 1790103430. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dermatology Arts.

The provider's business location address is:

1414 116TH AVE NE STE E
BELLEVUE, WA
ZIP 98004-801
Phone: (425) 753-2918

The provider's authorized official is Samir P. Master .
The authorized official title is Managing Member and has the following contact phone number (650) 302-2624.

The CLIA number assigned to this NPI record is 50D2107490 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 12/30/2020.


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
1207N00000XDermatologyNo
2261QM2500XClinic/CenterMedical SpecialtyMD60153580WASHINGTONYes

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: 11/14/2023

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