# CASCADES UROLOGY P.C.

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

## Provider details

- **NPI number:** 1558370114
- **Authorized official:** DR. NITIN R AMBANI M.D. (PHYSICIAN)
- **Authorized official phone:** (517) 782-0200

## Contact information

- **Practice address:** 2800 SPRING ARBOR RD, JACKSON, MI 49203-3608
- **Practice address phone:** (517) 782-0200
- **Practice address fax:** (517) 784-1894
- **Mailing address:** 2800 SPRING ARBOR RD, JACKSON, MI 49203-3608
- **Mailing address phone:** (517) 782-0200
- **Mailing address fax:** (517) 784-1894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | NA049295 | MI | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020
