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Geetha Bhavani Kandimala, MD
Clinical Neurophysiology Physician in Lawton, Oklahoma
NPI 1922200435

Geetha Bhavani Kandimala is a Clinical Neurophysiology Physician based in Lawton, OK and is specialized in Clinical Neurophysiology. Geetha Bhavani Kandimala practices in Lawton, OK and has the professional credentials of MD. The NPI Number for Geetha Bhavani Kandimala is 1922200435 and holds a License No. 26013 (Oklahoma).

The current practice location address for Geetha Bhavani Kandimala is 5606 Sw Lee Blvd, Lawton, OK and can be reached out via phone at 580-919-5361. You can also correspond with Geetha Bhavani Kandimala through the mailing address at 5606 SW LEE BLVD, LAWTON, OK - 73505-9688 (mailing address contact number: 580-919-5361).

Location: 5606 Sw Lee Blvd, Lawton, OK, 73505-9688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922200435
Provider Name
Geetha Bhavani Kandimala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5606 Sw Lee Blvd, Lawton, OK, 73505-9688
Phone Number
580-919-5361
Fax Number
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200199360A 05 OK
BP1-0017760 01 INSTITUTIONAL PERMIT
institution
Provider Business Practice Location Address Details
Address
5606 Sw Lee Blvd
City
Lawton
State
Oklahoma
Zip
73505-9688
Phone Number
580-919-5361
Fax Number
person
Provider Business Mailing Address Details
Address
5606 Sw Lee Blvd
City
Lawton
State
Oklahoma
Zip
73505-9688
Phone Number
580-919-5361
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
26013 (Oklahoma)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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