Organization
LAUREL UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIBAN K WARIKOO MD (PRESIDENT)
(814) 536-7851
Entity
Organization
Contact information
Practice address
1111 FRANKLIN ST, SUITE 410, JOHNSTOWN, PA 15905
(814) 536-7851
(814) 539-3649
Mailing address
1111 FRANKLIN ST, SUITE 410, JOHNSTOWN, PA 15905
(814) 536-7851
(814) 539-3649
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006394830001
—
PA
01
—
747979
HIGHMARK BCBS
—
01
—
CM4006
RAILROAD MEDICARE
PA
Enumeration date
08/25/2006
Last updated
05/09/2008
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