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Geetha B Kandimala Md Pc
Medical Specialty Clinic/Center in Lawton, Oklahoma
NPI 1922369701

Geetha B Kandimala Md Pc is a Medical Specialty Clinic/Center based in Lawton, OK and is specialized in Medical Specialty. Geetha B Kandimala Md Pc practices in Lawton, OK. The NPI Number for Geetha B Kandimala Md Pc is 1922369701 and holds a License No. 26013 (Oklahoma).

The current practice location address for Geetha B Kandimala Md Pc is 5606 Sw Lee Blvd, Lawton, OK and can be reached out via phone at 580-919-5361.

Location: 5606 Sw Lee Blvd, Lawton, OK, 73505-9688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922369701
Provider Name
Geetha B Kandimala Md Pc
Credential
Provider Entity Type
Organization
Address
5606 Sw Lee Blvd, Lawton, OK, 73505-9688
Phone Number
580-919-5361
Fax Number
Provider Enumeration Date
06/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200447100A 05 OK
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
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
26013 (Oklahoma)
Definition
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).
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