MEDICARE: AUSTIN UROLOGICAL ASSOCIATES P.A.

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	J6378	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568548550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN UROLOGICAL ASSOCIATES P.A.

Provider Business Mailing Address
First Line	:	6500 NORTH MOPAC EXPRESSWAY
Second Line	:	BLDG 2 STE 2102
City	:	AUSTIN
State	:	TX
Zip	:	78731-4305
Country	:	US
Telephone Number	:	512-476-6060
Fax Number	:	512-476-0909

Provider Business Practice Location Address
First Line	:	6500 NORTH MOPAC EXPRESSWAY
Second Line	:	BLDG 2 STE 2102
City	:	AUSTIN
State	:	TX
Zip	:	78731-4305
Country	:	US
Telephone Number	:	512-476-6060
Fax Number	:	512-476-0909

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUBIR CHHIKARA
Credential	:	M.D.
Telephone Number	:	512-476-6060

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/30/2008

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