National Provider Identifier Database

SOUTHERN OKLAHOMA KIDNEY CENTER INC
Nephrology

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.


Contact Information

SOUTHERN OKLAHOMA KIDNEY CENTER INC
2611 CROSSROADS DRIVE
ARDMORE, OK73401
Phone: 580-223-8614
Fax: 580-223-2561
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X

* Indicates primary specialty

NPI Profile & details for SOUTHERN OKLAHOMA KIDNEY CENTER INC

NPI Number 1538273958
Legal business name
LBN
SOUTHERN OKLAHOMA KIDNEY CENTER INC
Authorized official ABDUL KHAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/19/2006
Last updated 09/02/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200124150A
  • TX Medicaid: 194130401
  • OK Other: DN6026 MEDICARE RAILROAD
  • TX Other: DN6026 MEDICARE RAILROAD
  • TX Other: DP2512 RAILROAD MEDICARE TX

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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