SKIN VEIN & COSMETIC SURGERY CLINIC PC
NPI 1063519296
Dermatology in Munster, IN

Active since September 20, 2006
9130 COLUMBIA AVE, SUITE A, MUNSTER, IN 46321(219) 836-4343(219) 836-4387 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skin Vein & Cosmetic Surgery Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN VEIN & COSMETIC SURGERY CLINIC PC (NPI 1063519296) is a healthcare organization registered as a dermatology in Munster, Indiana and active in the NPI registry since September 2006. The organization lists Ahmad Fathi, President, as its authorized official.

NPPES Registry Identity

NPI1063519296
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN VEIN & COSMETIC SURGERY CLINIC PC
Location Address9130 COLUMBIA AVE, SUITE AMunster, IN 46321
Mailing Address9130 Columbia Ave, Suite AMunster, IN 46321 · (219) 836-4343 · Fax (219) 836-4387
Fax(219) 836-4387
Organization SubpartNo
Authorized OfficialAhmad FathiPresident · (219) 836-4343
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 9, 2011
NPI 1063519296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IN · 01029379A
Definition
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.
9130 COLUMBIA AVE, Munster, IN 46321

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
9130 COLUMBIA AVE, SUITE B
MUNSTER, IN 46321
Dermatology
9130 COLUMBIA AVE, SUITE A
MUNSTER, IN 46321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skin Vein & Cosmetic Surgery Clinic PC's NPI number?

The NPI number for Skin Vein & Cosmetic Surgery Clinic PC is 1063519296. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Skin Vein & Cosmetic Surgery Clinic PC located?

Skin Vein & Cosmetic Surgery Clinic PC is located at 9130 Columbia Ave Suite A, Munster, IN 46321. The listed phone number is (219) 836-4343.

What is Skin Vein & Cosmetic Surgery Clinic PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Skin Vein & Cosmetic Surgery Clinic PC was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.