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

Phoenix Surgical Dermatology Group LLC

Organization Dermatology Physician · NPI 1447884929

Phoenix Surgical Dermatology Group LLC is a Dermatology Physician in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4550 E Bell Rd Bldg 5
Phoenix, AZ 85032-9390
Phone: (480) 666-5568
Fax: (702) 297-6238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1447884929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramin Fathi — Owner · (480) 666-5568
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 29, 2020
Certification dateFebruary 29, 2020
Mailing address4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390

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