Organization
OKLAHOMA KIDNEY CARE PC
Active
Other names
Oklahoma Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
RA T MEDIPALLI MD (OWNER)
(405) 748-5800
Entity
Organization
Contact information
Practice address
13901 MCAULEY BLVD, 303, OKLAHOMA CITY, OK 73134-8700
(405) 748-5800
(405) 748-5806
Mailing address
13901 MCAULEY BLVD, 303, OKLAHOMA CITY, OK 73134-8700
(405) 748-5800
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12390
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136130A
—
OK
Enumeration date
03/08/2007
Last updated
01/02/2025
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