Provider Demographics
NPI:1538115050
Name:THE UROLOGY CENTER
Entity Type:Organization
Organization Name:THE UROLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAFTARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-649-6660
Mailing Address - Street 1:1150 ROBERT BLVD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2004
Mailing Address - Country:US
Mailing Address - Phone:985-649-6660
Mailing Address - Fax:985-646-2936
Practice Address - Street 1:1150 ROBERT BLVD
Practice Address - Street 2:SUITE 350
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2004
Practice Address - Country:US
Practice Address - Phone:985-649-6660
Practice Address - Fax:985-646-2936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty