Provider Demographics
NPI:1003907213
Name:UROLOGICAL SURGEONS, PC
Entity Type:Organization
Organization Name:UROLOGICAL SURGEONS, PC
Other - Org Name:UROLOGY PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:VORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-843-3845
Mailing Address - Street 1:44344 DEQUINDRE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1038
Mailing Address - Country:US
Mailing Address - Phone:586-323-4200
Mailing Address - Fax:586-843-3940
Practice Address - Street 1:44344 DEQUINDRE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1038
Practice Address - Country:US
Practice Address - Phone:586-323-4200
Practice Address - Fax:586-843-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P13880Medicare PIN