Organization
UROLOGIC SURGERY OF NWI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENRI PINKHASOV MD (PRESIDENT)
(917) 693-6363
Entity
Organization
Contact information
Practice address
1101 GLENDALE BLVD STE 107A, VALPARAISO, IN 46383-3775
(917) 693-6363
(219) 286-6909
Mailing address
1101 GLENDALE BLVD STE 107A, VALPARAISO, IN 46383-3775
(917) 693-6363
(219) 286-6909
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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