Doctors Clinic Of Durant Inc
LBN: Doctors Clinic Of Durant Inc
Doctors Clinic Of Durant Inc is an health care organization with primary practice located at 1400 Bryan Dr Suite 300, Durant OK 74701-2156. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecology, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Doctors Clinic Of Durant Inc can be contacted via phone (580) 924-1700, or through Sureddi, Koteswar Rao via phone (580) 924-1700.
Contact Information
Primary practice address
1400 Bryan Dr Suite 300
Durant OK 74701-2156
Phone: (580) 924-1700
Fax: (580) 924-1736
Website:
Authorized official contact:
Name: Sureddi, Koteswar Rao Doctor of Medicine (MD)
Phone: (580) 924-1700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11978 | Oklahoma |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23224 | Oklahoma |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 11979 | Oklahoma |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | Oklahoma |
Profile Details
| NPI number | 1598850331 |
|---|---|
| LBN Legal business name | Doctors Clinic Of Durant Inc |
| DBA Doing business as | |
| Authorized official | Sureddi, Koteswar Rao Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598850331 | NPPES |
| Oklahoma | MEDICAID | 100733950B | |
| Oklahoma | MEDICAID | 200076210G | |
| Oklahoma | MEDICAID | 100177390A |
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