UROLOGICAL CLINIC OF VALDOSTA PC
NPI 1649491606
Specialist in Valdosta, GA

Active since May 01, 2007
3294 NORTH OAK ST. EXT., VALDOSTA, GA 31605(229) 241-1188(229) 245-7106 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Urological Clinic Of Valdosta Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UROLOGICAL CLINIC OF VALDOSTA PC (NPI 1649491606) is a healthcare organization registered as a specialist in Valdosta, Georgia and active in the NPI registry since May 2007. The organization lists Mike Syru Chiang, Doctor, as its authorized official.

NPPES Registry Identity

NPI1649491606
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUROLOGICAL CLINIC OF VALDOSTA PC
Location Address3294 NORTH OAK ST. EXT.Valdosta, GA 31605
Mailing Address3294 North Oak St. Ext.Valdosta, GA 31605 · (229) 241-1188 · Fax (229) 245-7106
Fax(229) 245-7106
Organization SubpartNo
Authorized OfficialMike Syru ChiangDoctor · (229) 241-1188
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 5, 2017
NPI 1649491606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in GA · 018627 Licensed in GA · 18627
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3294 NORTH OAK ST. EXT., Valdosta, GA 31605

Other Identifiers 4

Medicaid000244791BGA
Other340005901Medicare Railroad
Medicare UPIND39589
Medicare PIN34BDBNB

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3294 NORTH OAK ST. EXT.
VALDOSTA, GA 31605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Urological Clinic Of Valdosta PC's NPI number?

The NPI number for Urological Clinic Of Valdosta PC is 1649491606. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Urological Clinic Of Valdosta PC located?

Urological Clinic Of Valdosta PC is located at 3294 North Oak St. Ext., Valdosta, GA 31605. The listed phone number is (229) 241-1188.

What is Urological Clinic Of Valdosta PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Urological Clinic Of Valdosta PC was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.