Provider Demographics
NPI:1174228688
Name:THE BHALANI UROLOGY INSTITUTE LLC
Entity type:Organization
Organization Name:THE BHALANI UROLOGY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BHALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-576-4598
Mailing Address - Street 1:960 SANDERS RD STE 500
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5978
Mailing Address - Country:US
Mailing Address - Phone:678-321-7227
Mailing Address - Fax:678-968-4784
Practice Address - Street 1:960 SANDERS RD STE 500
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-5978
Practice Address - Country:US
Practice Address - Phone:312-576-4598
Practice Address - Fax:678-968-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty