Chabot Urology Medical Associates, a Professional Corp.

NPI #1679629968 in Castro Valley, California

Provider Information

NPI Number: 1679629968
Entity Type: Organization
Organization Name: Chabot Urology Medical Associates, a Professional Corp.
Primary Specialty: Urology
Enumeration Date: Jan 27, 2007
Last Updated: Jul 11, 2023

Practice Location

Address: 20055 LAKE CHABOT RD STE 310
City: Castro Valley
State: California
ZIP Code: 94546-5334
Phone: (510) 889-9166

Authorized Official

Name: DR. SOURJYA PRAKASH MISRA, M.D.
Title: PRESIDENT
Phone: (510) 889-9166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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