Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ahwatukee Dermatology LLC

Organization Dermatology Physician · NPI 1962699512

Ahwatukee Dermatology LLC is a Dermatology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4545 E Chandler Blvd Ste 305
Phoenix, AZ 85048-7643
Phone: (480) 785-7546
Fax: (480) 940-1760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 15963 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2590 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 151 (AZ)

Record details

NPI number1962699512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Neumann — Manager · (480) 785-7546
NPI enumeratedSeptember 27, 2007
Last updated in NPPESSeptember 27, 2007
Mailing address4545 E Chandler Blvd, Suite 305, Phoenix, AZ 85048-7643

Other providers in Phoenix