Provider Demographics
NPI:1699948992
Name:UROLOGY GROUP ASSOC. INC
Entity type:Organization
Organization Name:UROLOGY GROUP ASSOC. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SATBIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-282-6291
Mailing Address - Street 1:3600 WEST ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-4555
Mailing Address - Country:US
Mailing Address - Phone:304-794-4111
Mailing Address - Fax:
Practice Address - Street 1:3600 WEST ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-4555
Practice Address - Country:US
Practice Address - Phone:304-794-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVNO20165174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVUR9315982Medicare PIN