# CAPITOL UROLOGY MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1245249226
- **Authorized official:** KIUMARS R HEKMAT M.D. (PHYSICIAN)
- **Authorized official phone:** (916) 921-4529

## Contact information

- **Practice address:** 500 UNIVERSITY AVE, SUITE 200, SACRAMENTO, CA 95825-6504
- **Practice address phone:** (916) 921-4530
- **Practice address fax:** (916) 924-1611
- **Mailing address:** 500 UNIVERSITY AVE, SUITE 200, SACRAMENTO, CA 95825-6504
- **Mailing address phone:** (916) 921-4530
- **Mailing address fax:** (916) 924-1611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A37811 | — | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 08/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0065840 | — | CA |