JESSICA ZARAH SUGIANTO MD NPI 1437389277

NPI Information

  • NPI: 1437389277
  • Provider Name: JESSICA ZARAH SUGIANTO, MD
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6655 N MACARTHUR BLVD
    IRVING, TX
    ZIP 75039
  • Phone: (214) 277-8700

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NPI Details

Jessica Zarah Sugianto, MD is a dermatopathology pathology in Irving, TX with 16 years of experience. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. Jessica Zarah Sugianto, MD NPI is 1437389277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2009

The provider's business location address is:

6655 N MACARTHUR BLVD
IRVING, TX
ZIP 75039-443
Phone: (214) 277-8700
Fax: (214) 596-7484

The NPI 1437389277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2009 and was last updated on 3/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyQ5932TEXASNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207ZD0900XPathologyDermatopathologyQ5932TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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