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: August 16, 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
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

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 15

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

Physical Therapist
4417 W GORE BLVD, SUITE 14
LAWTON, OK 73505
Dentist
4417 W GORE BLVD, STE 10
LAWTON, OK 73505
Obstetrics & Gynecology
4417 W GORE BLVD, STE 3
LAWTON, OK 73505
Internal Medicine (Pulmonary Disease)
4417 W GORE BLVD, #5
LAWTON, OK 73505
Dentist (General Practice)
4417 W GORE BLVD, SUITE 11
LAWTON, OK 73505
Dentist (Pediatric Dentistry)
4417 W GORE BLVD, SUITE 11
LAWTON, OK 73505
Clinic/Center (Medical Specialty)
4417 W GORE BLVD, SUITE 1
LAWTON, OK 73505
Clinic/Center
4417 W GORE BLVD, SUITE 6
LAWTON, OK 73505

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 Comanche Nephrology PC's NPI number?

The NPI number for Comanche Nephrology PC is 1689863946. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Comanche Nephrology PC located?

Comanche Nephrology PC is located at 4417 W Gore Blvd Suite 1, Lawton, OK 73505. The listed phone number is (580) 536-5273.

What is Comanche Nephrology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Comanche Nephrology PC was last updated on December 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.