Individual
DR. SUHAS DAMODAR AGTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
5108 W GORE BLVD, SUITE 2, LAWTON, OK 73505-6025
(580) 357-8330
Mailing address
5108 W GORE BLVD, SUITE 2, LAWTON, OK 73505-6025
(580) 357-8330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23697
OK
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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