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Contact Information

ICECREAMWALA DERMATOLOGY INC
2435 WEBSTER ST STE 101
BERKELEY, CA94705
 Phone: 510-646-8070
 Fax: 833-484-7048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ICECREAMWALA DERMATOLOGY INC

NPI Number 1700371275
LBN Legal business name ICECREAMWALA DERMATOLOGY INC
Authorized official DEVIKA ICECREAMWALA - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2018
Last updated 07/02/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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