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COMANCHE NEPHROLOGY PC
NPI 1689863946
Internal Medicine - Nephrology in Lawton, OK

Active since October 23, 2007
4417 W GORE BLVD, SUITE 1, LAWTON, OK 73505(580) 536-5273 Get Directions Write a Review

NPPES record last updated: December 11, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Comanche Nephrology Pc NPPES

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

COMANCHE NEPHROLOGY PC (NPI 1689863946) is a healthcare organization registered as a nephrology in Lawton, Oklahoma and active in the NPI registry since October 2007. The organization lists Bali Reddy Sodam, Physician, as its authorized official.

NPPES Registry Identity

NPI1689863946
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOMANCHE NEPHROLOGY PC
Location Address4417 W GORE BLVD, SUITE 1Lawton, OK 73505-5978
Mailing Address4417 W Gore Blvd, Suite 1Lawton, OK 73505-5978 · (580) 536-5273
Phone(580) 536-5273
Organization SubpartNo
Authorized OfficialBali Reddy SodamPhysician · (580) 536-5273
Enumeration DateOctober 23, 2007
Last NPPES UpdateDecember 11, 2010
✔ NPI 1689863946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OK · 24723
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4417 W GORE BLVD, Lawton, OK 73505
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Other Identifiers 3

Medicare UPINI50032OK
Medicare PIN500522217OK
Medicaid200123460AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

ROSS HENSLEY M.D.
Dermatology
4417 W GORE BLVD, STE 7
LAWTON, OK 73505
Comanche County (580) 248-7500
ANTHONY JOSEPH LA SORSA PT
Physical Therapist
4417 W GORE BLVD, SUITE 14
LAWTON, OK 73505
Comanche County (580) 353-9399
COMANCHE COUNTY HEALTHCARE
Neurological Surgery
4417 W GORE BLVD, SUITE 9
LAWTON, OK 73505
Comanche County (580) 357-9984
COMANCHE COUNTY HEALTHCARE
Internal Medicine
4417 W GORE BLVD, SUITE 13
LAWTON, OK 73505
Comanche County (580) 248-0465
MR. BALI REDDY SODAM MD
Internal Medicine (Nephrology)
4417 W GORE BLVD, SUITE 1
LAWTON, OK 73505
Comanche County (580) 536-5273
DAN HORTON, M.D., INC.
Clinic/Center
4417 W GORE BLVD, SUITE 6
LAWTON, OK 73505
Comanche County (580) 353-3920
DR. MAGDALENA BARBARA SIKORA M.D.
Internal Medicine (Nephrology)
4417 W GORE BLVD, SUITE 1
LAWTON, OK 73505
Comanche County (580) 699-5400
JEFFREY L ZWEIG MD PC
Obstetrics & Gynecology
4417 W GORE BLVD, STE 3
LAWTON, OK 73505
Comanche County (580) 357-1002

Frequently Asked Questions

What is COMANCHE NEPHROLOGY PC's NPI number?

The NPI number assigned to this healthcare provider is 1689863946, enumerated as an "organization" on October 23, 2007.

Where is the provider located?

The provider is located at 4417 W GORE BLVD SUITE 1 LAWTON, OK 73505 and the phone number is (580) 536-5273.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

What insurance does COMANCHE NEPHROLOGY PC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.