Organization
WEST OHIO UROLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREM K AGRAWAL MD, FRCS (PRESIDENT)
(419) 422-5646
Entity
Organization
Contact information
Practice address
1400 S MAIN ST, FINDLAY, OH 45840-1304
(419) 422-5646
(419) 422-6040
Mailing address
2728 FOXFIRE LN, FINDLAY, OH 45840-7138
(419) 422-3377
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-045878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140324
ANTHEM BCBS
—
01
—
000000168601
ANTHEM FEDERAL
OH
05
—
0212317
—
OH
01
—
1096780001
ADMINISTAR
—
01
—
1309147
HIGHMARK BCBS
—
01
—
232089491003
MEDICAL MUTUAL OF OHIO
—
01
—
340014692
RAILROAD MEDICARE
—
01
—
36D0351656
CLIA
OH
01
—
6218555
CIGNA
OH
01
—
9294731
MEDICARE GROUP
OH
Enumeration date
10/23/2006
Last updated
07/16/2008
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