Organization
ICECREAMWALA DERMATOLOGY INC
Active
Organization
ICECREAMWALA DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIKA ICECREAMWALA MD (AUTHORIZED OFFICIAL)
(510) 646-8070
Entity
Organization
Contact information
Practice address
2435 WEBSTER ST STE 101, BERKELEY, CA 94705
(510) 646-8070
(833) 484-7048
Mailing address
2435 WEBSTER ST STE 101, BERKELEY, CA 94705-2050
(510) 646-8070
(833) 484-7048
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
CA
207NP0225X
Pediatric Dermatology Physician
—
CA
Other
Enumeration date
06/27/2018
Last updated
07/02/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up