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SOUTHSIDE UROLOGY CLINIC P.C. NPI 1952778177


NPI Information

NPI: 1952778177
Provider Name: SOUTHSIDE UROLOGY CLINIC, P.C.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
9817 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73139
Phone: (405) 632-4500
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SOUTHSIDE UROLOGY CLINIC, P.C. is a medical specialty clinic center in Oklahoma City, 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). SOUTHSIDE UROLOGY CLINIC, P.C. NPI is 1952778177. The provider is registered as an organization entity type.

The provider's business location address is:

9817 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73139-812
Phone: (405) 632-4500
Fax: (405) 632-7500

The provider's authorized official is Rajendra K Motwani .
The authorized official title is Owner and has the following contact phone number (405) 632-4500.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 12/4/2015.


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
1261QM2500XClinic/CenterMedical Specialty3478OKLAHOMAYes

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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