MEDICARE: UROLOGY GROUP ASSOC. INC

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	NO20165	WV

General Provider Information

NPI Number	:	1699948992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UROLOGY GROUP ASSOC. INC

Provider Business Mailing Address
First Line	:	3600 WEST ST
Second Line	:	SUITE 2
City	:	WEIRTON
State	:	WV
Zip	:	26062-4555
Country	:	US
Telephone Number	:	304-794-4111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 WEST ST
Second Line	:	SUITE 2
City	:	WEIRTON
State	:	WV
Zip	:	26062-4555
Country	:	US
Telephone Number	:	304-794-4111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SATBIR SINGH
Credential	:	M.D.
Telephone Number	:	740-282-6291

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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Directions to “UROLOGY GROUP ASSOC. INC ” Practice Location

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