GEETHA B KANDIMALA MD PC NPI 1922369701

NPI Information

GEETHA B KANDIMALA MD PC is a medical specialty clinic center in Lawton, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GEETHA B KANDIMALA MD PC NPI is 1922369701. The provider is registered as an organization entity type.

The provider's business location address is:

5606 SW LEE BLVD
302
LAWTON, OK
ZIP 73505-688
Phone: (580) 919-5361

The provider's authorized official is Geetha Bhavani Kandimala .
The authorized official title is President and has the following contact phone number (580) 919-5361.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 9/27/2012.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.