| NPI | 1235706946 |
|---|---|
| Doing Business As | ELEVATED DERMATOLOGY & MEDSPA CORP |
| Doing Business As | INDY DERMATOLOGY INC. |
| Doing Business As | LEI KAY MED INC |
| Doing Business As | ELEVATED DERMPATH CORP |
| Doing Business As | ELEVATED DERMATOLOGY& MEDSPA CORP |
| Entity Type | Organization |
| Authorized Contact | LARRY ZHAO CEO, Md 317-961-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach | |
| 175L00000X Homeopath | |
| 207N00000X Dermatology | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology | |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 261QR1100X Clinic/Center, Research | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-08-09 |