Organization
UNIVERSAL KIDNEY CARE OF OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD BALIL MD (OWNER/PHYSICIAN)
(405) 417-8573
Entity
Organization
Contact information
Practice address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 936-0504
(405) 936-0561
Mailing address
1605 NW 176TH ST, EDMOND, OK 73012-6910
(405) 417-8573
(405) 936-0561
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
26355
OK
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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