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Organization
UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC
Active
Organization
UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBA RAO NAGUBADI MD (PRESIDENT)
(219) 464-1001
Entity
Organization
Contact information
Practice address
1101 E GLENDALE BLVD, STE 111, VALPARAISO, IN 46383
(219) 464-1001
(219) 465-7426
Mailing address
1101 E GLENDALE BLVD, STE 111, VALPARAISO, IN 46383
(219) 464-1001
(219) 465-7426
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200382400A
—
IN
Enumeration date
11/28/2006
Last updated
10/30/2007
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