Comanche Nephrology Pc

LBN: Comanche Nephrology Pc
Comanche Nephrology Pc is an health care organization with primary practice located at 4417 W Gore Blvd Suite 1, Lawton OK 73505-5978. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Comanche Nephrology Pc can be contacted via phone (580) 536-5273, or through Sodam, Bali Reddy via phone (580) 536-5273.

Contact Information

Primary practice address
4417 W Gore Blvd Suite 1 Lawton OK 73505-5978
Phone: (580) 536-5273
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sodam, Bali Reddy Doctor of Medicine (MD)
Phone: (580) 536-5273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 24723 Oklahoma

Profile Details

NPI number 1689863946
LBN Legal business name Comanche Nephrology Pc
DBA Doing business as
Authorized official Sodam, Bali Reddy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Dec 11th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689863946 NPPES
Oklahoma MEDICAID 200123460A

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