National Provider Identifier Database

KAVITA MARIWALLA, MD – NPI #1962674184
MOHS-Micrographic Surgery

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.


Contact Information

KAVITA MARIWALLA, MD
1145 MONTAUK HWY
SUITE 1
WEST ISLIP, NY11795-4909
Phone: 631-665-3376
Fax: 631-969-3376
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X
Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for KAVITA MARIWALLA

NPI Number 1962674184
Credentials MD
Entity Individual
Enumeration date 03/27/2008
Last updated 09/28/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • CT License #: 046352
  • NY License #: 253189
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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