MEDICARE: UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780750133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC

Provider Business Mailing Address
First Line	:	1101 E GLENDALE BLVD
Second Line	:	STE 111
City	:	VALPARAISO
State	:	IN
Zip	:	46383
Country	:	US
Telephone Number	:	219-464-1001
Fax Number	:	219-465-7426

Provider Business Practice Location Address
First Line	:	1101 E GLENDALE BLVD
Second Line	:	STE 111
City	:	VALPARAISO
State	:	IN
Zip	:	46383
Country	:	US
Telephone Number	:	219-464-1001
Fax Number	:	219-465-7426

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUBBA RAO NAGUBADI
Credential	:	MD
Telephone Number	:	219-464-1001

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	10/30/2007

Similar Medicare Providers

1457077158 — DR. WINNA PHAM DDS
Practice Location Address:

1001 STURDY RD
VALPARAISO, IN
46383-4126

Practice Phone: 888-580-1060
Practice Fax:

1851964894 — DRAGANA TRIVUNOVIC FNP-BC, PMHNP-BC
Practice Location Address:

3000 MURVIHILL RD
VALPARAISO, IN
46383-5960

Practice Phone: 219-286-3907
Practice Fax: 219-286-3911

1376371377 — JESSICA SINGLETON BCBA
Practice Location Address:

551 EASTPORT CENTRE DR
VALPARAISO, IN
46383-2898

Practice Phone: 219-255-2454
Practice Fax: 317-520-8200

1881521466 — DYLAN BOGUCKI
Practice Location Address:

1700 CHAPEL DR
VALPARAISO, IN
46383-4520

Practice Phone: 219-464-5000
Practice Fax:

1184560013 — DILAFRUZ KHAMIDOVA M.D.
Practice Location Address:

1001 STURDY RD.
VALPARAISO, IN
46383

Practice Phone: 219-462-7173
Practice Fax: 219-462-7504

1174398663 — TIFFANY DELANEY
Practice Location Address:

501 WALL ST
VALPARAISO, IN
46383-2537

Practice Phone: 219-364-0392
Practice Fax:

1245168517 — MELANIE A GONZALES
Practice Location Address:

4110 CARDINAL LN
VALPARAISO, IN
46383-2109

Practice Phone: 219-241-2613
Practice Fax:

Directions to “UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.