Organization
SOUTHERN OKLAHOMA RENAL SERVICES, LLC
Active
Organization
SOUTHERN OKLAHOMA RENAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL N KHAN MD (OWNER)
(580) 223-8614
Entity
Organization
Contact information
Practice address
1107 WALNUT DR, ARDMORE, OK 73401-2354
(580) 223-8614
(580) 223-2561
Mailing address
1107 WALNUT DRIVE, ARDMORE, OK 73401
(580) 223-8614
(580) 223-2561
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
20569
OK
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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