Skin Vein & Cosmetic Surgery Clinic PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01029379A Issued in IN

Legal business name

SKIN VEIN & COSMETIC SURGERY CLINIC PC

Practice address

9130 Columbia Ave
Suite a
Munster, IN 46321

Phone

(219) 836-4343

Fax

(219) 836-4387

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ahmad Fathi, MD

Title

President

Phone

(219) 836-4343

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1063519296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 COLUMBIA AVE",
            "address_2": "SUITE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-836-4343",
            "fax_number": "219-836-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 COLUMBIA AVE",
            "address_2": "SUITE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-836-4343",
            "fax_number": "219-836-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN VEIN & COSMETIC SURGERY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "FATHI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01029379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Singer, M.S.O.M., L.AC
• Kuldeep Singh, M.D.
• Savitha Singh, MD
• Milani Sivagnanam, M.D.
• Skin Dermatology, LLC
• Skinnovate, LLC
• Christopher James Skrivan, D.C.
• Isabelle Marie Skurka, NP-BC
• Morgan Slawson
• Meghan Slivka, LMT

• Dermatology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.