# UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC

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

## Provider details

- **NPI number:** 1780750133
- **Authorized official:** SUBBA RAO NAGUBADI MD (PRESIDENT)
- **Authorized official phone:** (219) 464-1001

## Contact information

- **Practice address:** 1101 E GLENDALE BLVD, STE 111, VALPARAISO, IN 46383
- **Practice address phone:** (219) 464-1001
- **Practice address fax:** (219) 465-7426
- **Mailing address:** 1101 E GLENDALE BLVD, STE 111, VALPARAISO, IN 46383
- **Mailing address phone:** (219) 464-1001
- **Mailing address fax:** (219) 465-7426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 10/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200382400A | — | IN |