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UNIVERSITY UROLOGISTS INC. PC NPI 1104877141


NPI Information

NPI: 1104877141
Provider Name: UNIVERSITY UROLOGISTS, INC., PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
535 BARNHILL DR STE 420
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 278-1979
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UNIVERSITY UROLOGISTS, INC., PC is an urology in Indianapolis, IN. 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. UNIVERSITY UROLOGISTS, INC., PC NPI is 1104877141. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

535 BARNHILL DR STE 420
INDIANAPOLIS, IN
ZIP 46202-116
Phone: (317) 278-1979
Fax: (317) 278-1981

The provider's authorized official is Michael O Koch .
The authorized official title is President and has the following contact phone number (317) 944-7338.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 1/19/2024.


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 Urology01048495AINDIANANo
2363LP0200XNurse PractitionerPediatrics71001248AINDIANANo
3208800000XUrology01048495AINDIANAYes

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
1100057570MEDICAIDINDIANA

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: 4/28/2024

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