Organization
ASSOCIATEDUROLOGY MEDICAL GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARAYANA VENKATA BULUSU M.D. (PRESIDENT)
(510) 889-1700
Entity
Organization
Contact information
Practice address
20130 LAKE CHABOT RD, # 302, CASTRO VALLEY, CA 94546-5340
(510) 889-1700
(510) 889-7170
Mailing address
20130 LAKE CHABOT RD, # 302, CASTRO VALLEY, CA 94546-5340
(510) 889-1700
(510) 889-7170
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A30679
CA
Other
Enumeration date
01/24/2007
Last updated
09/30/2008
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