Organization
DIALYSIS SPECIALISTS OF SEMINOLE OKLAHOMA, LLC
Active
Organization
DIALYSIS SPECIALISTS OF SEMINOLE OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR KHANNA MD (MEDICAL DIRECTOR)
(405) 382-9809
Entity
Organization
Contact information
Practice address
12581 NS 3540 CR, SEMINOLE, OK 74868-9789
(405) 382-9809
(405) 382-7911
Mailing address
12581 NS 3540 CR, SEMINOLE, OK 74868-9789
(405) 382-9809
(405) 382-7911
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000129908
—
OK
Enumeration date
11/29/2006
Last updated
11/25/2008
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