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Arizona Skin & Dermatology, P.C.

Dermatology Physician in Glendale, AZ · enumerated 2014 · authorized official Manntej Sra, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619378098

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Registry record

Entity type Organization (Type 2)
Legal business name Arizona Skin & Dermatology, P.C.
Practice address 7200 W Bell Rd, Suite E103, Glendale, AZ, 85308
Fax (602) 529-4699
Enumeration date Sep 4, 2014
Last updated in NPPES Jan 23, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Manntej Sra
Title Ceo

Other identifiers

Identifier Type State Issuer
Z171303 Other AZ MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Arizona Skin & Dermatology, P.C. located?
The practice location on file with NPPES is in Glendale, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-23.