Skin Vein & Cosmetic Surgery Clinic PC

NPI #1063519296 in Munster, Indiana

Provider Information

NPI Number: 1063519296
Entity Type: Organization
Organization Name: Skin Vein & Cosmetic Surgery Clinic PC
Primary Specialty: Dermatology
Enumeration Date: Sep 20, 2006
Last Updated: Dec 9, 2011

Practice Location

Address: 9130 COLUMBIA AVE
Address 2: SUITE A
City: Munster
State: Indiana
ZIP Code: 46321
Phone: (219) 836-4343

Authorized Official

Name: AHMAD FATHI, MD
Title: PRESIDENT
Phone: (219) 836-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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