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Organization
COMPLETE & COMPREHENSIVE KIDNEY CARE PLLC
Active
Organization
COMPLETE & COMPREHENSIVE KIDNEY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ A KHAN MD (CEO)
(314) 629-8948
Entity
Organization
Contact information
Practice address
810 NW 10TH ST STE A, OKLAHOMA CITY, OK 73106-7216
(405) 272-8367
Mailing address
PO BOX 268946, OKLAHOMA CITY, OK 73126-8946
(405) 691-4703
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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