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Individual

SAI CHARAN VEDULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4417 W GORE BLVD STE 3, LAWTON, OK 73505-5978
(580) 699-5400
Mailing address
4417 W GORE BLVD STE 3, LAWTON, OK 73505-5978
(580) 699-5400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT221411
PA
207RN0300X
Nephrology Physician
Primary
44505
OK

Other

Enumeration date
07/22/2020
Last updated
05/22/2026
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