Chabot Urology Medical Associates, A Professional Corp.
LBN: Chabot Urology Medical Associates, A Professional Corp.
Chabot Urology Medical Associates, A Professional Corp. is an health care organization with primary practice located at 20055 Lake Chabot Rd Ste 310 , Castro Valley CA 94546-5334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty.
Chabot Urology Medical Associates, A Professional Corp. can be contacted via phone (510) 889-9166, or through Misra, Sourjya Prakash via phone (510) 889-9166.
Contact Information
Primary practice address
20055 Lake Chabot Rd Ste 310
Castro Valley CA 94546-5334
Phone: (510) 889-9166
Fax:
Website:
Authorized official contact:
Name: Misra, Sourjya Prakash Doctor of Medicine (MD)
Phone: (510) 889-9166
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A49141 | California |
Profile Details
| NPI number | 1679629968 |
|---|---|
| LBN Legal business name | Chabot Urology Medical Associates, A Professional Corp. |
| DBA Doing business as | Chabot Urology Medical Associates, A Professional Corp. |
| Authorized official | Misra, Sourjya Prakash Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 11th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679629968 | NPPES |
| California | MEDICAID | E85288 |
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