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

Skin Vein & Cosmetic Surgery Clinic PC

Organization Dermatology Physician · NPI 1063519296

Skin Vein & Cosmetic Surgery Clinic PC provides Dermatology Physician services in Munster, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

9130 Columbia Ave Ste A
Munster, IN 46321 Not confirmed with CMS for 14 years — call before visiting
Phone: (219) 836-4343
Fax: (219) 836-4387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 01029379A (IN)

Record details

NPI number1063519296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmad Fathi — President · (219) 836-4343
NPI enumeratedSeptember 20, 2006
Last updated in NPPESDecember 9, 2011
Mailing address9130 Columbia Ave, Suite A, Munster, IN 46321

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