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Organization
UROLOGY OF INDIANA, L.L.C.
Active
Organization
UROLOGY OF INDIANA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S SUH (M.D.)
(317) 890-2000
Entity
Organization
Contact information
Practice address
14300 E 138TH, FISHERS, IN 46037-0050
(317) 813-1660
(317) 813-1667
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 885-1250
(317) 859-4268
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487680518
GROUP NPI
IN
01
—
1932289568
NCPDP
IN
05
—
200288740B
—
IN
Enumeration date
10/17/2006
Last updated
08/06/2023
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