National Provider Identifier Database

COOSA VALLEY UROLOGY PC
Specialist

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.


Contact Information

COOSA VALLEY UROLOGY, P.C.
16 SOUTH DOUGLAS AVENUE
SYLACAUGA, AL35150
Phone: 256-245-2269
Fax: 256-245-2260
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for COOSA VALLEY UROLOGY, P.C.

NPI Number 1083831804
Legal business name
LBN
COOSA VALLEY UROLOGY, P.C.
Authorized official MAMOUN PACHA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/20/2007
Last updated 10/04/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 8767
  • AL Medicaid: 529603840
  • AL Other: 340007817 RAILROAD MEDICARE
  • AL Other: 1910002 UNITED HEALTH CARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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