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Contact Information

DERMATOLOGY INC
875 AIRPORT PKWY
GREENWOOD, IN46143-1085
 Phone: 317-926-3739
 Fax: 317-921-7478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY INC

NPI Number 1053421610
LBN Legal business name DERMATOLOGY INC
Authorized official KHRISTI AUTAJAY - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 04/22/2025 - More than a year ago
Identifiers
IN Medicaid 100056130 A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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