# COMPLETE & COMPREHENSIVE KIDNEY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922647585
- **Authorized official:** DR. TARIQ A KHAN MD (CEO)
- **Authorized official phone:** (314) 629-8948

## Contact information

- **Practice address:** 810 NW 10TH ST STE A, OKLAHOMA CITY, OK 73106-7216
- **Practice address phone:** (405) 272-8367
- **Mailing address:** PO BOX 268946, OKLAHOMA CITY, OK 73126-8946
- **Mailing address phone:** (405) 691-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2019
- **Last updated:** 12/31/2019