Organization
UROLOGIC SURGERY OF NWI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENRI PINKHASOV MD (UROLOGIST)
(917) 693-6363
Entity
Organization
Contact information
Practice address
282 LARWICK CIR, VALPARAISO, IN 46385-9305
(917) 693-6363
Mailing address
282 LARWICK CIR, VALPARAISO, IN 46385-9305
(917) 693-6363
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639370893
—
IN
Enumeration date
08/22/2024
Last updated
08/22/2024
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