# UROLOGIC SURGERY OF NWI, PC

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

## Provider details

- **NPI number:** 1770448607
- **Authorized official:** GENRI PINKHASOV MD (PRESIDENT)
- **Authorized official phone:** (917) 693-6363

## Contact information

- **Practice address:** 1101 GLENDALE BLVD STE 107A, VALPARAISO, IN 46383-3775
- **Practice address phone:** (917) 693-6363
- **Practice address fax:** (219) 286-6909
- **Mailing address:** 1101 GLENDALE BLVD STE 107A, VALPARAISO, IN 46383-3775
- **Mailing address phone:** (917) 693-6363
- **Mailing address fax:** (219) 286-6909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2025
- **Last updated:** 12/23/2025