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LASER AND SKIN SURGERY CENTER OF INDIANA P.C. NPI 1912030966


NPI Information

NPI: 1912030966
Provider Name: LASER AND SKIN SURGERY CENTER OF INDIANA, P.C.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 15D0936621

Address:
8925 N MERIDIAN ST STE 200
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 660-4900
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LASER AND SKIN SURGERY CENTER OF INDIANA, P.C. is a dermatology in Indianapolis, IN. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. LASER AND SKIN SURGERY CENTER OF INDIANA, P.C. NPI is 1912030966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8925 N MERIDIAN ST STE 200
INDIANAPOLIS, IN
ZIP 46260-385
Phone: (317) 660-4900
Fax: (317) 660-7112

The provider's authorized official is Carl William Hanke .
The authorized official title is Owner and has the following contact phone number (317) 660-4900.

The CLIA number assigned to this NPI record is 15D0936621 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/24/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207ND0900XDermatologyDermatopathologyNo
3207NS0135XDermatologyProcedural DermatologyNo
4261QA1903XClinic/CenterAmbulatory Surgical50004010AINDIANANo
5207N00000XDermatologyYes

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

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