Organization
MADINA MEDICAL GROUP PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALAL ALI KHAN M.D (OWNER)
(716) 238-1473
Entity
Organization
Contact information
Practice address
800 W 18TH ST STE 140, EDMOND, OK 73013-3759
(716) 238-1473
Mailing address
209 NW 151ST ST, EDMOND, OK 73013-1736
(716) 238-1473
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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