Geetha B Kandimala Md Pc

LBN: Geetha B Kandimala Md Pc
Geetha B Kandimala Md Pc is an health care organization with primary practice located at 5606 Sw Lee Blvd 302, Lawton OK 73505-9688. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Geetha B Kandimala Md Pc can be contacted via phone (580) 919-5361, or through Kandimala, Geetha Bhavani via phone (580) 919-5361.

Contact Information

Primary practice address
5606 Sw Lee Blvd 302 Lawton OK 73505-9688
Phone: (580) 919-5361
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kandimala, Geetha Bhavani Doctor of Medicine (MD)
Phone: (580) 919-5361

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 26013 Oklahoma

Profile Details

NPI number 1922369701
LBN Legal business name Geetha B Kandimala Md Pc
DBA Doing business as
Authorized official Kandimala, Geetha Bhavani Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2012
Last updated Sep 27th, 2012 - about 12 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 1922369701 NPPES
Oklahoma MEDICAID 200447100A

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