Organization
NEO KIDNEY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS KATTA M.D (PRESIDENT)
(732) 986-1758
Entity
Organization
Contact information
Practice address
4417 W GORE BLVD STE 1, LAWTON, OK 73505-5978
(405) 554-4887
(888) 383-0122
Mailing address
2505 BACON CT, MUSKOGEE, OK 74403-1662
(173) 298-6175
(888) 383-0122
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
02/13/2024
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