ELEVATED MEDSPA CORP NPI 1235706946

NPI Information

  • NPI: 1235706946
  • Provider Name: ELEVATED MEDSPA CORP
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Doing Business As: ELEVATED DERMATOLOGY & MEDSPA CORP
  • Address: 8240 NAAB RD STE 360
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 961-6396

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NPI Details

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 License Number License State Primary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
4207NS0135XDermatologyProcedural DermatologyNo
5207SM0001XMedical GeneticsMolecular Genetic PathologyNo
6133NN1002XNutritionistNutrition, EducationNo
7171400000XHealth and Wellness CoachNo
8175L00000XHomeopathNo
9207ZC0500XPathologyCytopathologyNo
10207ZP0101XPathologyAnatomic PathologyNo
11207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
122083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
13261QR1100XClinic/CenterResearchNo
14291U00000XClinical Medical LaboratoryNo
15207ND0900XDermatologyDermatopathologyYes

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: 11/21/2025

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