Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Laser and Skin Surgery Center of Indiana, PC

Organization Dermatology Physician · NPI 1912030966

Laser and Skin Surgery Center of Indiana, PC provides Dermatology Physician services in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8925 N Meridian St Ste 200
Indianapolis, IN 46260-2385
Phone: (317) 660-4900
Fax: (317) 660-7112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 50004010A (IN)

Record details

NPI number1912030966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Hanke — Owner · (317) 660-4900
NPI enumeratedMarch 13, 2007
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address8925 N Meridian St Ste 200, Indianapolis, IN 46260-2385

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