1891083929 NPI number — SOUTHERN OKLAHOMA RENAL SERVICES, LLC

Table of content: (NPI 1891083929)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891083929 NPI number — SOUTHERN OKLAHOMA RENAL SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHERN OKLAHOMA RENAL SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891083929
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1107 WALNUT DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARDMORE
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-223-8614
Provider Business Mailing Address Fax Number:
580-223-2561

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1107 WALNUT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARDMORE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73401-2354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-223-8614
Provider Business Practice Location Address Fax Number:
580-223-2561
Provider Enumeration Date:
07/11/2011

Additional Information

Authorized Official

Authorized Official Last Name:
KHAN
Authorized Official First Name:
ABDUL
Authorized Official Middle Name:
N
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
580-223-8614

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X , with the licence number:  20569 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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