Burlington Urology Pc

LBN: Burlington Urology Pc
Burlington Urology Pc is an health care organization with primary practice located at 400 S Broadway St , Burlington IA 52601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Burlington Urology Pc can be contacted via phone (319) 753-2747, or through Mullengi, Kramar R via phone (319) 753-2747.

Contact Information

Primary practice address
400 S Broadway St Burlington IA 52601
Fax: (319) 752-4300
Website:
Authorized official contact:
Name: Mullengi, Kramar R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 31796 Iowa

Profile Details

NPI number 1407831365
LBN Legal business name Burlington Urology Pc
DBA Doing business as
Authorized official Mullengi, Kramar R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407831365 NPPES
Iowa Other 4517 BCBS
Iowa MEDICAID 152454 BCBS
Iowa Other 40017885 BCBS

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