Asheboro Urology Clinic

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ASHEBORO UROLOGY CLINIC

Doing business as

Chatham Urology

Practice address

401 N Ivey Ave
Siler City, NC 27344-3074

Phone

(919) 663-3317

NPI assigned

Oct 25, 2006

Reactivated

Dec 31, 2007

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daljit S Caberwal, MD

Title

President

Phone

(919) 663-3317

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Chatham Urology Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1316022874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N IVEY AVE",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443074",
            "telephone_number": "919-663-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N IVEY AVE",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443074",
            "telephone_number": "919-663-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEBORO UROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-07",
        "deactivation_date": "2007-02-23",
        "reactivation_date": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "CABERWAL",
        "authorized_official_first_name": "DALJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-663-3317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01077",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Siler City, NC
• Providers in Siler City, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.