ADVANCED UROLOGY OF NEW MEXICO LLC – NPI #1558667873
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

ADVANCED UROLOGY OF NEW MEXICO LLC is an urologist located in LOS ALAMOS, NM. NPPES has assigned the NPI number 1558667873 to ADVANCED UROLOGY OF NEW MEXICO LLC on February 03, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED UROLOGY OF NEW MEXICO LLC below.

NPI Profile for
ADVANCED UROLOGY OF NEW MEXICO LLC

NPI Number
1558667873
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED UROLOGY OF NEW MEXICO LLC
Primary location
3917 WEST RD
SUITE 137
LOS ALAMOS, NM 87544-2275
Phone: (505) 661-8500 Fax: (505) 661-0096
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAVEL MOURACHOV
OWNER
Phone: (505) 661-8500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
NM

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.