Healthcare Provider Details

I. General information

NPI: 1003721895
Provider Name (Legal Business Name): DERMFLO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 18TH ST APT 303
SAN FRANCISCO CA
94107-4378
US

IV. Provider business mailing address

550 18TH ST APT 303
SAN FRANCISCO CA
94107-4378
US

V. Phone/Fax

Practice location:
  • Phone: 480-284-9267
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: VAMSI VARRA
Title or Position: SOLE MEMBER
Credential: MD
Phone: 480-284-9267