Organization
SOUTHERN OKLAHOMA KIDNEY CENTER INC
Active
Other names
Abdul N Khan MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL NASIR KHAN MD (OWNER)
(580) 223-8614
Entity
Organization
Contact information
Practice address
2611 CROSSROADS DRIVE, ARDMORE, OK 73401
(580) 223-8614
(580) 223-2561
Mailing address
PO BOX 637, ARDMORE, OK 73402-0637
(580) 223-8614
(580) 223-2561
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194130401
—
TX
05
—
200124150A
—
OK
01
—
DN6026
MEDICARE RAILROAD
OK
01
—
DN6026
MEDICARE RAILROAD
TX
01
—
DP2512
RAILROAD MEDICARE TX
TX
Enumeration date
08/19/2006
Last updated
09/02/2025
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