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LOTUS UROLOGIC GROUP NPI 1548329550


NPI Information

NPI: 1548329550
Provider Name: LOTUS UROLOGIC GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
105 DOCTORS PARK
GALAX, VA
ZIP 24333
Phone: (276) 236-5187
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LOTUS UROLOGIC GROUP is a specialist in Galax, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOTUS UROLOGIC GROUP NPI is 1548329550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 DOCTORS PARK
GALAX, VA
ZIP 24333-277
Phone: (276) 236-5187
Fax: (276) 236-3015

The provider's authorized official is Kareem Zaki .
The authorized official title is President and has the following contact phone number (276) 236-5187.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/18/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101053692VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15902112MEDICAIDNORTH CAROLINA
2G93722MEDICARE UPINVIRGINIA
3C09618MEDICARE PINVIRGINIA
45503130001MEDICARE NSCVIRGINIA
5DE0083OTHERVIRGINIAMEDICARE RAILROAD
6010188491MEDICAIDVIRGINIA

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: 5/5/2024
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