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CHESAPEAKE UROLOGY ASSOCIATES LLC NPI 1700153921


NPI Information

NPI: 1700153921
Provider Name: CHESAPEAKE UROLOGY ASSOCIATES, LLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 21D2135152

Address:
3801 INTERNATIONAL DR
SUITE 310
SILVER SPRING, MD
ZIP 20906
Phone: (301) 598-9717
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CHESAPEAKE UROLOGY ASSOCIATES, LLC is an urology in Silver Spring, MD. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CHESAPEAKE UROLOGY ASSOCIATES, LLC NPI is 1700153921. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3801 INTERNATIONAL DR
SUITE 310
SILVER SPRING, MD
ZIP 20906-550
Phone: (301) 598-9717
Fax: (301) 598-3230

The provider's authorized official is Sanford J. Siegel .
The authorized official title is President and has the following contact phone number (443) 738-2872.

The CLIA number assigned to this NPI record is 21D2135152 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/17/2011 and was last updated on 9/19/2016.


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
1208800000XUrologyYes

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
1276600100MEDICAIDMARYLAND
2231352MEDICARE PINMARYLAND

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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