Organization
WABASH VALLEY UROLOGICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARAT G DAVE MD (VICE PRESIDENT)
(812) 232-9596
Entity
Organization
Contact information
Practice address
1235 OHIO STREET, TERRE HAUTE, IN 47807
(812) 232-9596
Mailing address
1235 OHIO STREET, TERRE HAUTE, IN 47807
(812) 232-9596
(812) 232-7992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250050A
—
IN
Enumeration date
08/11/2006
Last updated
05/05/2008
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