Organization
ELEVATED MEDSPA CORP
Active
Other names
Elevated DermPath Corp, Indy Dermatology Inc., Elevated Dermatology & MedSpa Corp, Elevated Dermatology& MedSpa Corp, Lei Kay Med Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ZHAO MD, FCAP, FPAC, FACP (CEO, MD)
(317) 961-6396
Entity
Organization
Contact information
Practice address
8240 NAAB RD STE 360, INDIANAPOLIS, IN 46260-1987
(317) 961-6396
Mailing address
8240 NAAB RD STE 360, INDIANAPOLIS, IN 46260-1987
(317) 961-6396
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
175L00000X
Homeopath
—
—
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QR1100X
Research Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/10/2021
Last updated
08/09/2021
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