YUMA UROLOGY CENTER PLLC NPI 1841482577

NPI Information

  • NPI: 1841482577
  • Provider Name: YUMA UROLOGY CENTER PLLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 03D1075315
  • Address: 2275 S ELKS LN
    YUMA, AZ
    ZIP 85364
  • Phone: (928) 341-1900

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NPI Details

YUMA UROLOGY CENTER PLLC is an urology in Yuma, AZ. 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. YUMA UROLOGY CENTER PLLC NPI is 1841482577. The provider is registered as an organization entity type.

The provider's business location address is:

2275 S ELKS LN
YUMA, AZ
ZIP 85364-258
Phone: (928) 341-1900
Fax: (928) 341-1973

The provider's authorized official is Natakom Nash Chulamorkodt .
The authorized official title is President and has the following contact phone number (773) 501-7706.

The CLIA number assigned to this NPI record is 03D1075315 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty37017ARIZONANo
2208800000XUrologyYes

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
11043388481MEDICAIDARIZONA

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: 11/21/2025

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