Kandimala, Geetha Bhavani
Kandimala, Geetha Bhavani is an individual health care provider with primary practice located at 5606 Sw Lee Blvd 302, Lawton OK 73505-9688. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as her primary health care specialty. Kandimala, Geetha Bhavani can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 26013 | Oklahoma |
Profile Details
| NPI number | 1922200435 |
|---|---|
| LBN Legal business name | Kandimala, Geetha Bhavani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jun 7th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922200435 | NPPES |
| Oklahoma | MEDICAID | 200199360A | |
| Oklahoma | Other | BP1-0017760 |
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