Provider Demographics
NPI:1720057466
Name:CONSULTANTS IN UROLOGY, LTD
Entity Type:Organization
Organization Name:CONSULTANTS IN UROLOGY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:CHASIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-834-0269
Mailing Address - Street 1:1500 S DOBSON RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4713
Mailing Address - Country:US
Mailing Address - Phone:480-834-0269
Mailing Address - Fax:480-834-0670
Practice Address - Street 1:1500 S DOBSON RD
Practice Address - Street 2:SUITE 315
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4713
Practice Address - Country:US
Practice Address - Phone:480-834-0269
Practice Address - Fax:480-834-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8082208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty