FREEDOM IKEDIONWU MD PC NPI 1043512049

NPI Information

NPI: 1043512049
Provider Name: FREEDOM IKEDIONWU, MD, PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1819 W GORE BLVD
LAWTON, OK
ZIP 73501
Phone: (580) 353-5522
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FREEDOM IKEDIONWU, MD, PC is a nephrology internal medicine in Lawton, 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. FREEDOM IKEDIONWU, MD, PC NPI is 1043512049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1819 W GORE BLVD
LAWTON, OK
ZIP 73501-614
Phone: (580) 353-5522
Fax: (580) 248-3042

The provider's authorized official is Freedom Kene Ikedionwu .
The authorized official title is President and has the following contact phone number (580) 353-5522.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 11/23/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	594504862M	MEDICARE PIN	OKLAHOMA

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: 4/28/2024

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