ELEVATED MEDSPA CORP NPI 1235706946

NPI Information

NPI: 1235706946
Provider Name: ELEVATED MEDSPA CORP

Doing Business As: ELEVATED DERMATOLOGY & MEDSPA CORP

Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
8240 NAAB RD STE 360
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 961-6396
Get Directions

ELEVATED MEDSPA CORP is a dermatopathology dermatology in Indianapolis, IN. The provider is a dermatopathologist has the expertise to diagnose and monitor 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 routine and special (electron and fluorescent) microscopes. ELEVATED MEDSPA CORP NPI is 1235706946. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elevated Dermatology & Medspa Corp.

The provider's business location address is:

8240 NAAB RD STE 360
INDIANAPOLIS, IN
ZIP 46260-987
Phone: (317) 961-6396

The provider's authorized official is Larry Zhao .
The authorized official title is Ceo, Md and has the following contact phone number (317) 961-6396.

The enumeration date for this NPI number is 6/10/2021 and was last updated on 8/9/2021.

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	Primary
1	207N00000X	Dermatology		No
2	207ND0101X	Dermatology	MOHS-Micrographic Surgery	No
3	207NI0002X	Dermatology	Clinical & Laboratory Dermatological Immunology	No
4	207NS0135X	Dermatology	Procedural Dermatology	No
5	207SM0001X	Medical Genetics	Molecular Genetic Pathology	No
6	133NN1002X	Nutritionist	Nutrition, Education	No
7	171400000X	Health and Wellness Coach		No
8	175L00000X	Homeopath		No
9	207ZC0500X	Pathology	Cytopathology	No
10	207ZP0101X	Pathology	Anatomic Pathology	No
11	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	No
12	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	No
13	261QR1100X	Clinic/Center	Research	No
14	291U00000X	Clinical Medical Laboratory		No
15	207ND0900X	Dermatology	Dermatopathology	Yes

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: 4/28/2024

NPI Synchronization or Removal

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