Healthcare Provider Details

I. General information

NPI: 1891835047
Provider Name (Legal Business Name): NORTHWEST UROLOGY ASSOCIATES,PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14674 W MOUNTAIN VIEW BLVD SUITE210
SURPRISE AZ
85374-2706
US

IV. Provider business mailing address

14674 W MOUNTAIN VIEW BLVD SUITE 210
SURPRISE AZ
85374-2706
US

V. Phone/Fax

Practice location:
  • Phone: 623-546-1400
  • Fax: 623-546-0745
Mailing address:
  • Phone: 623-546-1400
  • Fax: 623-546-0745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BIREN GIRISH PATEL
Title or Position: DOCTOR
Credential: MD
Phone: 623-546-3714