Icecreamwala Dermatology Inc
Icecreamwala Dermatology Inc provides Dermatology Physician services in Berkeley, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2435 Webster St Ste 101Berkeley, CA 94705
Phone: (510) 646-8070
Fax: (833) 484-7048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X (CA) |
|---|---|
| Pediatric Dermatology Physician | Taxonomy 207NP0225X (CA) |
Record details
| NPI number | 1700371275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Devika Icecreamwala — Authorized Official · (510) 646-8070 |
| NPI enumerated | June 27, 2018 |
| Last updated in NPPES | July 2, 2018 |
| Mailing address | 2435 Webster St Ste 101, Berkeley, CA 94705-2050 |
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