Individual
DONALD A URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 46845-1714
(260) 482-8681
(260) 969-0350
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01063766A
IN
208800000X
Urology Physician
16424
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000633892
ANCATHEM
IN
05
—
000084519
—
AL
01
—
00573328
MISSISSIPPI MEDICAID
AL
05
—
200862950
—
IN
01
—
P00103932
RAILROAD MEDICARE
AL
01
—
P00811409
MEDICARE RAILROAD
IN
Enumeration date
07/24/2006
Last updated
11/15/2022
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