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ABOLGHASEM MARCO REZAEI MD
NPI 1811950942
Family Medicine in Lawton, OK

Active since April 10, 2006
4121 W GORE BLVD, LAWTON, OK 73505(580) 699-5511(580) 699-5519 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abolghasem Marco Rezaei Md NPPES

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

ABOLGHASEM MARCO REZAEI MD (NPI 1811950942) is an individual family medicine provider in Lawton, Oklahoma, licensed in Oklahoma (23655) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1811950942
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameABOLGHASEM MARCO REZAEICredential: MD
Location Address4121 W GORE BLVDLawton, OK 73505-6336
Mailing Address4121 W Gore BlvdLawton, OK 73505-6336 · (580) 699-5511 · Fax (580) 699-5519
Phone(580) 699-5511
Fax(580) 699-5519
Sole ProprietorYes
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 27, 2021
NPPES CertifiedMarch 27, 2021
✔ NPI 1811950942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 23655
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4121 W GORE BLVD, Lawton, OK 73505
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Other Identifiers 3

Medicaid200097020BOK
Other1811950942OK · Npi
OtherI52055OK · Upin

Other Providers at the Same Location NPPES 8

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

MRS. KRISTEN RENEE ARNOLD CCC SLP
Speech-Language Pathologist
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 353-8900
ERICA BRYANT
Contractor
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 357-3857
GORE THERAPY CENTER, P.C.
Clinic/Center (Hearing and Speech)
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 353-8900
ABOLGHASEM REZAEI MD PC
Family Medicine
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 699-5511
MRS. CHELSEA K.DAWN WOOD COTA
Occupational Therapy Assistant
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 353-8900
DANA HILBERT
Speech-Language Pathologist
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 353-8900
ANN ELIZABETH ANGIEL RPT
Physical Therapist
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 353-8900
RANIKKI H. BROWN M.S
Counselor (Professional)
4121 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 357-3857

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 Abolghasem Rezaei's NPI number?

The NPI number for Abolghasem Rezaei is 1811950942. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Abolghasem Rezaei located?

Abolghasem Rezaei practices at 4121 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 699-5511.

What is Abolghasem Rezaei's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Abolghasem Rezaei was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.