GEETHA B KANDIMALA MD PC NPI 1922369701

NPI Information

  • NPI: 1922369701
  • Provider Name: GEETHA B KANDIMALA MD PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 5606 SW LEE BLVD
    302
    LAWTON, OK
    ZIP 73505
  • Phone: (580) 919-5361

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty26013OKLAHOMAYes

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
1200447100AMEDICAIDOKLAHOMA

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: 11/21/2025

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