Provider Demographics
NPI:1194953810
Name:GLOBAL DERMATOPATHOLOGY SERVICES, PLC
Entity type:Organization
Organization Name:GLOBAL DERMATOPATHOLOGY SERVICES, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IFTIKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-668-3737
Mailing Address - Street 1:1241 JOHNSON AVE
Mailing Address - Street 2:MAIL BOX 312
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-3306
Mailing Address - Country:US
Mailing Address - Phone:480-668-3737
Mailing Address - Fax:480-699-9383
Practice Address - Street 1:14019 S 8TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-4459
Practice Address - Country:US
Practice Address - Phone:408-668-3737
Practice Address - Fax:480-699-9383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty