Southside Urology Clinic, P.C. in Oklahoma City - Specialist
Southside Urology Clinic, P.C. - NPI 1629247341
Southside Urology Clinic, P.C. is a Specialist in Oklahoma City, Oklahoma. Southside Urology Clinic, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southside Urology Clinic, P.C. is 1629247341. The last update date is 2016-07-25.
Southside Urology Clinic, P.C.'s current location address is 9817 S Western Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056324500 and fax number 4056327500. The mailing address for Southside Urology Clinic, P.C. is 9817 S Western Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Urology Clinic, P.C. |
|---|---|
| Address | 9817 S Western Ave, Oklahoma City, Oklahoma |
| Phone Number | 4056324500 |
| Fax Number | 4056327500 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Motwani K Rajendra |
| Credentials | D.O. |
| Telephone Number | 4056324500 |
NPI Number Detail
| NPI Number | 1629247341 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2016-07-25 |
Provider Mailing Address Detail
| Address | 9817 S Western Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731392812 |
| Phone Number | 4056324500 |
| Fax Number | 4056327500 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 3478 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200620340A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southside Urology Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Southside Urology Clinic, P.C. has been issued the NPI (National Provider Identifier) 1629247341, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southside Urology Clinic, P.C. located?
The Southside Urology Clinic, P.C. is located at 9817 S Western Ave, Oklahoma City, OK 731392812.
What is Southside Urology Clinic, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Southside Urology Clinic, P.C.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did Southside Urology Clinic, P.C. receive its 1629247341 assignment?
The Southside Urology Clinic, P.C. was assigned its 1629247341 on 2008-02-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Southside Urology Clinic, P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southside Urology Clinic, P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-07-25.