Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Skin Vein & Cosmetic Surgery Clinic PC

Organization Dermatology Physician · NPI 1063519296

Skin Vein & Cosmetic Surgery Clinic PC is a Dermatology Physician 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
Phone: (219) 836-4343
Fax: (219) 836-4387
Show map & directions

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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