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SOUTHERN OKLAHOMA KIDNEY CENTER INC NPI 1538273958


NPI Information

NPI: 1538273958
Provider Name: SOUTHERN OKLAHOMA KIDNEY CENTER INC

Doing Business As: ABDUL N KHAN MD

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
2611 CROSSROADS DRIVE
ARDMORE, OK
ZIP 73401
Phone: (580) 223-8614
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SOUTHERN OKLAHOMA KIDNEY CENTER INC is a nephrology internal medicine in Ardmore, OK. The provider is 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. SOUTHERN OKLAHOMA KIDNEY CENTER INC NPI is 1538273958. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Abdul N Khan Md.

The provider's business location address is:

2611 CROSSROADS DRIVE
ARDMORE, OK
ZIP 73401
Phone: (580) 223-8614
Fax: (580) 223-2561

The provider's authorized official is Abdul Nasir Khan .
The authorized official title is Owner and has the following contact phone number (580) 223-8614.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 12/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyK8251TEXASNo
2207RN0300XInternal MedicineNephrology20569OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1194130401MEDICAIDTEXAS
2300522359MEDICARE PINOKLAHOMA
3DP2512OTHERTEXASRAILROAD MEDICARE TX
4200124150AMEDICAIDOKLAHOMA
5DN6026OTHERTEXASMEDICARE RAILROAD
6DN6026OTHEROKLAHOMAMEDICARE RAILROAD
700Z042MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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