Organization
UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBA RAO NAGUBADI MD (PRESIDENT)
(219) 464-1001
Entity
Organization
Contact information
Practice address
1101 E GLENDALE BLVD, STE 111, VALPARAISO, IN 46383
(219) 464-1001
(219) 465-7426
Mailing address
1101 E GLENDALE BLVD, STE 111, VALPARAISO, IN 46383
(219) 464-1001
(219) 465-7426
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200382400A
—
IN
Enumeration date
11/28/2006
Last updated
10/30/2007
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