# UROLOGIC SURGERY OF NWI, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033942297
- **Authorized official:** DR. GENRI PINKHASOV MD (UROLOGIST)
- **Authorized official phone:** (917) 693-6363

## Contact information

- **Practice address:** 282 LARWICK CIR, VALPARAISO, IN 46385-9305
- **Practice address phone:** (917) 693-6363
- **Mailing address:** 282 LARWICK CIR, VALPARAISO, IN 46385-9305
- **Mailing address phone:** (917) 693-6363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1639370893 | — | IN |