SOUTHSIDE UROLOGY CLINIC, P.C.
NPI 1629247341
Specialist in Oklahoma City, OK

Active since February 27, 2008
9817 S WESTERN AVE, OKLAHOMA CITY, OK 73139(405) 632-4500(405) 632-7500 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2016, Dec 30, 2015 (2 updates tracked since 2015).

About Southside Urology Clinic, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE UROLOGY CLINIC, P.C. (NPI 1629247341) is a healthcare organization registered as a specialist in Oklahoma City, Oklahoma and active in the NPI registry since February 2008. The organization lists Rajendra K Motwani, Owner, as its authorized official.

NPPES Registry Identity

NPI1629247341
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHSIDE UROLOGY CLINIC, P.C.
Location Address9817 S WESTERN AVEOklahoma City, OK 73139-2812
Mailing Address9817 S Western AveOklahoma City, OK 73139-2812 · (405) 632-4500 · Fax (405) 632-7500
Fax(405) 632-7500
Organization SubpartNo
Authorized OfficialRajendra K MotwaniOwner · (405) 632-4500
Enumeration DateFebruary 27, 2008
Last NPPES UpdateJuly 25, 20162 updates tracked since enumeration
NPI 1629247341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OK · 3478
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 3478 (OK)
9817 S WESTERN AVE, Oklahoma City, OK 73139

Other Identifiers 2

Medicare PIN464291OK
Medicaid200620340AOK

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
9817 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Durable Medical Equipment & Medical Supplies
9817 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Clinic/Center (Medical Specialty)
9817 S WESTERN AVE
OKLAHOMA CITY, OK 73139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Urology Clinic, P.C.'s NPI number?

The NPI number for Southside Urology Clinic, P.C. is 1629247341. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Southside Urology Clinic, P.C. located?

Southside Urology Clinic, P.C. is located at 9817 S Western Ave, Oklahoma City, OK 73139. The listed phone number is (405) 632-4500.

What is Southside Urology Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southside Urology Clinic, P.C. was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.