Southeast Dermatology, P.A. in Pasadena - Dermatology

Southeast Dermatology, P.A. - NPI 1811932205

Southeast Dermatology, P.A. is a Dermatology in Pasadena, Texas. Southeast Dermatology, P.A. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Southeast Dermatology, P.A. is 1811932205. The last update date is 2022-06-30.

Southeast Dermatology, P.A.'s current location address is 4419 Crenshaw Rd, Pasadena, Texas. You can contact this provider via phone number 2819915944 and fax number 2819916129. The mailing address for Southeast Dermatology, P.A. is 4419 Crenshaw Rd, Pasadena, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southeast Dermatology, P.A.
Address 4419 Crenshaw Rd, Pasadena, Texas
Phone Number 2819915944
Fax Number 2819916129
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ghorbani John Ashkan
Credentials MD
Telephone Number 2819915944

NPI Number Detail

NPI Number 1811932205
Provider Enumeration Date 2006-06-18
Last Updated Date 2022-06-30

Provider Mailing Address Detail

Address 4419 Crenshaw Rd
City Pasadena
State Texas (TX)
Post Code 775043628
Phone Number 2819915944
Fax Number 2819916129

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80342101 TX --

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FAQs about Southeast Dermatology, P.A.

What is the unique 10-digit identification code issued to Southeast Dermatology, P.A. by the Centers for Medicare & Medicaid Services?

The Southeast Dermatology, P.A. has been assigned the NPI (National Provider Identifier) 1811932205 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Southeast Dermatology, P.A. is located?

The Southeast Dermatology, P.A. is situated at the following address: 4419 Crenshaw Rd, Pasadena, TX, 775043628.

What is Southeast Dermatology, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Southeast Dermatology, P.A.'s specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.

On what date did Southeast Dermatology, P.A. receive its 1811932205 assignment from the Centers for Medicare & Medicaid Services?

The Southeast Dermatology, P.A. was assigned its 1811932205 on 2006-06-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Southeast Dermatology, P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Southeast Dermatology, P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-30.

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