NPI 1154940690 · live from the CMS NPI Registry
Divya Joseph Aickara, MD
Dermatology, MOHS-Micrographic Surgery in Tampa, FL. National Provider Identifier 1154940690, active.
NPI record
| NPI | 1154940690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 11601 Sheldon Rd, Tampa, FL 33626 |
| Practice phone | 813-324-6630 |
| Mailing address | 4197 Woodlands Pkwy, Palm Harbor, FL 34685 |
| Enumerated | April 14, 2020 |
| Last updated | October 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | ME169912 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.