MEDICARE: CENTER FOR UROLOGICAL SERVICES 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	174400000X	Specialist

General Provider Information

NPI Number	:	1366475006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR UROLOGICAL SERVICES PC

Provider Business Mailing Address
First Line	:	4545 E CHANDLER BLVD
Second Line	:	STE 300
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7646
Country	:	US
Telephone Number	:	480-961-2323
Fax Number	:	480-961-2108

Provider Business Practice Location Address
First Line	:	4545 E CHANDLER BLVD
Second Line	:	STE 300
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7646
Country	:	US
Telephone Number	:	480-961-2323
Fax Number	:	480-961-2108

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT E CADOFF
Credential	:	MD
Telephone Number	:	480-961-2327

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	08/22/2020

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