# UROLOGICAL CARE INC

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

## Provider details

- **NPI number:** 1871514091
- **Authorized official:** DR. J. MICHAEL PEREZ M.D. (PRESIDENT)
- **Authorized official phone:** (765) 962-8551

## Contact information

- **Practice address:** 1485 CHESTER BLVD, RICHMOND, IN 47374-1919
- **Practice address phone:** (765) 962-8551
- **Practice address fax:** (765) 966-8089
- **Mailing address:** 1485 CHESTER BLVD, RICHMOND, IN 47374-1919
- **Mailing address phone:** (765) 962-8551
- **Mailing address fax:** (765) 966-8089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 50002706A | IN | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0136730 | OH MEDICAID GROUP \# | OH |
| 01 | — | CM9450 | TRAVELERS MEDICARE GROUP\# | IN |