Organization
DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHRISTI AUTAJAY (PRACTICE ADMINISTRATOR)
(317) 926-3739
Entity
Organization
Contact information
Practice address
875 AIRPORT PKWY, GREENWOOD, IN 46143-1085
(317) 926-3739
(317) 921-7478
Mailing address
875 AIRPORT PKWY, GREENWOOD, IN 46143-1085
(317) 926-3739
(317) 921-7478
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056130 A
—
IN
Enumeration date
08/30/2006
Last updated
04/22/2025
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