S.a.I Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS9927 Issued in FL

Legal business name

S.A.I DERMATOLOGY INC

Practice address

10131 Forest Hill Blvd
Suite 201
Wellington, FL 33414-6156

Phone

(866) 427-0850

Fax

(561) 282-3238

NPI assigned

Jul 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prethi Sundaram-Mohip, D.O

Title

Owner

Phone

(866) 427-0850

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1588047427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD",
            "address_2": "SUITE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146156",
            "telephone_number": "866-427-0850",
            "fax_number": "561-282-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD",
            "address_2": "SUITE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146156",
            "telephone_number": "866-427-0850",
            "fax_number": "561-282-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.I DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "SUNDARAM-MOHIP",
        "authorized_official_first_name": "PRETHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-427-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Graham Russ, M. A.
• Allen I. Rutman
• S & DS Newhealth Agency LLC
• S Viroja PA
• S. Viroja PA
• Rosa Saa
• Kristina Sabado, M.S
• Maria Florencia Sabugo, LCSW
• Krysten Saccocio, PT, DPT
• Maya Sachs

• Dermatology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.