OrganizationActive
Arizona Skin & Dermatology, P.C.
NPI 1619378098 · Dermatology Physician · Glendale, AZ
Provider details
- NPI number
- 1619378098
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Manntej Sra, Ceo(602) 529-4700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7200 W Bell Rd
Suite E103
Glendale, AZ 85308-8529
Phone: (602) 529-4700
Fax: (602) 529-4699
Street-level locationGet directions
Mailing address
8380 W Emile Zola Ave
Peoria, AZ 85381-4811
Registry dates
- Enumerated
- 2014-09-04
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.