Dr. Kavita Mariwalla, MD
Dr. Kavita Mariwalla, MD is a Micrographic Dermatologic Surgery (Mds) in West Islip, New York. Graduated from Yale University School of Medicine in 2004, 22 years ago. Practices with Mariwalla Dermatology PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.
- Years since qualifying
- 22
- Trained at
- Yale University School of Medicine
- Licensed in
- CT, NY
- In the registry since
- 2008
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1253 Montauk HwyWest Islip, NY 11795-4916
Phone: (631) 665-3376
Fax: (631) 969-3370
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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 · Licence 046352 (CT) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 046352 (CT) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 253189 (NY) |
| Dermatology Physician | Taxonomy 207N00000X · Licence 253189 (NY) |
Record details
| NPI number | 1962674184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2008 |
| Last updated in NPPES | September 28, 2020 |
| Certification date | September 28, 2020 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2004 (22 years in practice) |
| Group practice | Mariwalla Dermatology Pllc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in West Islip
-
Advanced Dermatology PC
510 Montauk Hwy, West Islip, NY 11795-4422 · (631) 587-1132