Comanche Nephrology Pc in Lawton - Nephrology
Comanche Nephrology Pc - NPI 1689863946
Comanche Nephrology Pc is a Nephrology in Lawton, Oklahoma. Comanche Nephrology Pc practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Comanche Nephrology Pc is 1689863946. The last update date is 2010-12-11.
Comanche Nephrology Pc's current location address is 4417 W Gore Blvd, Lawton, Oklahoma. You can contact this provider via phone number 5805365273. The mailing address for Comanche Nephrology Pc is 4417 W Gore Blvd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comanche Nephrology Pc |
|---|---|
| Address | 4417 W Gore Blvd, Lawton, Oklahoma |
| Phone Number | 5805365273 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Sodam Reddy Bali |
| Credentials | M.D. |
| Telephone Number | 5805365273 |
NPI Number Detail
| NPI Number | 1689863946 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2010-12-11 |
Provider Mailing Address Detail
| Address | 4417 W Gore Blvd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735055978 |
| Phone Number | 5805365273 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 24723 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200123460A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Comanche Nephrology Pc by the Centers for Medicare & Medicaid Services?
The Comanche Nephrology Pc has been assigned the NPI (National Provider Identifier) 1689863946 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Comanche Nephrology Pc?
The Comanche Nephrology Pc is physically situated at 4417 W Gore Blvd, in the city of Lawton, state of OK, with the postal code 735055978.
What is Comanche Nephrology Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Comanche Nephrology Pc is Nephrology, and the corresponding taxonomy classification code for this specialized field is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689863946 to Comanche Nephrology Pc?
The Centers for Medicare & Medicaid Services originally issued the 1689863946 to Comanche Nephrology Pc on 2007-10-23.
When was the Comanche Nephrology Pc's information last updated?
The Comanche Nephrology Pc's information was last updated on 2010-12-11.