Internal Medicine & Nephrology Associates, Pc in Edmond - Internal Medicine

Internal Medicine & Nephrology Associates, Pc - NPI 1619923281

Internal Medicine & Nephrology Associates, Pc is a Internal Medicine in Edmond, Oklahoma. Internal Medicine & Nephrology Associates, Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Internal Medicine & Nephrology Associates, Pc is 1619923281. The last update date is 2020-08-22.

Internal Medicine & Nephrology Associates, Pc's current location address is 105 S Bryant Ave, Edmond, Oklahoma. You can contact this provider via phone number 4053404565 and fax number 4053404583. The mailing address for Internal Medicine & Nephrology Associates, Pc is 105 S Bryant Ave, Edmond, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Internal Medicine & Nephrology Associates, Pc
Address 105 S Bryant Ave, Edmond, Oklahoma
Phone Number 4053404565
Fax Number 4053404583
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Khalili Fazel Mohammad
Credentials M.D.
Telephone Number 4053404565

NPI Number Detail

NPI Number 1619923281
Provider Enumeration Date 2006-05-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 105 S Bryant Ave
City Edmond
State Oklahoma (OK)
Post Code 730346399
Phone Number 4053404565
Fax Number 4053404583

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 23879
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
342965190002 OK BLUE CROSS BLUE SHIELD

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FAQs about Internal Medicine & Nephrology Associates, Pc

What is the unique identification code assigned to Internal Medicine & Nephrology Associates, Pc by the Centers for Medicare & Medicaid Services?

The Internal Medicine & Nephrology Associates, Pc has been issued the NPI (National Provider Identifier) 1619923281. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Internal Medicine & Nephrology Associates, Pc is geographically located?

The Internal Medicine & Nephrology Associates, Pc is physically situated at the following location: 105 S Bryant Ave, Edmond, OK, 730346399.

What is the Internal Medicine & Nephrology Associates, Pc's specialty and taxonomy code?

The Internal Medicine & Nephrology Associates, Pc's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1619923281 to Internal Medicine & Nephrology Associates, Pc?

The Internal Medicine & Nephrology Associates, Pc received its 1619923281 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.

As of what date were the details pertaining to Internal Medicine & Nephrology Associates, Pc last refreshed?

The information related to the Internal Medicine & Nephrology Associates, Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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