Provider Demographics
NPI:1336363001
Name:CILINICAL UROLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:CILINICAL UROLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:PIRANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-492-4040
Mailing Address - Street 1:713 GOODYEAR AVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1156
Mailing Address - Country:US
Mailing Address - Phone:256-492-4040
Mailing Address - Fax:
Practice Address - Street 1:2525 US HIGHWAY 431
Practice Address - Street 2:SUITE 100
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-5934
Practice Address - Country:US
Practice Address - Phone:256-593-8633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINICAL UROLOGY ASSOCIATES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-12
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
051509377OtherDR. MANISH SHAH BCBS
051534775OtherDR. MERLE WADE BCBS
AL000068391OtherDR. JOHN PIRANI BCBS
000042853OtherDR. CHESTER HICKS BCBS
AL000060243Medicaid
AL000068391Medicaid
AL42853Medicare ID - Type UnspecifiedDR HICKS MEDICARE ID
AL000068391OtherDR. JOHN PIRANI BCBS
051509377OtherDR. MANISH SHAH BCBS
000042853OtherDR. CHESTER HICKS BCBS
AL051507493SHAMedicare ID - Type UnspecifiedDR SHAH MEDICARE ID