# BAXI UROLOGY PC

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

## Provider details

- **NPI number:** 1588806913
- **Authorized official:** DR. NISHENDU BAXI M.D. (PRESIDENT)
- **Authorized official phone:** (219) 218-9475

## Contact information

- **Practice address:** 9250 COLUMBIA AVE, STE. \#2A, MUNSTER, IN 46321-3538
- **Practice address phone:** (219) 218-9475
- **Practice address fax:** (866) 794-9475
- **Mailing address:** PO BOX 3070, MUNSTER, IN 46321-0070
- **Mailing address phone:** (219) 218-9475
- **Mailing address fax:** (866) 794-9475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01060538A | IN | Yes |

## Other

- **Enumeration date:** 03/31/2009
- **Last updated:** 04/15/2015