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CHILDRENS UROLOGY ASSOCIATES LLC NPI 1134324668


NPI Information

NPI: 1134324668
Provider Name: CHILDRENS UROLOGY ASSOCIATES, LLC
Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

CLIA Number: 29D0957333

Address:
6670 S TENAYA WAY STE 180
LAS VEGAS, NV
ZIP 89113
Phone: (702) 369-4999
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CHILDRENS UROLOGY ASSOCIATES, LLC is a pediatric urology urology in Las Vegas, NV. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). CHILDRENS UROLOGY ASSOCIATES, LLC NPI is 1134324668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6670 S TENAYA WAY STE 180
LAS VEGAS, NV
ZIP 89113-964
Phone: (702) 369-4999
Fax: (702) 369-2993

The provider's authorized official is George Ganesan .
The authorized official title is Partner and has the following contact phone number (702) 369-4999.

The CLIA number assigned to this NPI record is 29D0957333 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 8/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088P0231XUrologyPediatric Urology6402NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11134324668MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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