Dr Suhas Damodar Agte, M D | |
5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 | |
(580) 357-8330 | |
Not Available |
Full Name | Dr Suhas Damodar Agte |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 5108 W Gore Blvd, Lawton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720036122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 23697 (Oklahoma) | Primary |
Entity Name | Dallas Renal Group, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629186168 PECOS PAC ID: 0244277283 Enrollment ID: O20181221002274 |
Mailing Address | Practice Location Address |
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Dr Suhas Damodar Agte, M D 5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 Ph: (580) 357-8330 | Dr Suhas Damodar Agte, M D 5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 Ph: (580) 357-8330 |
Dr. Brian Gillam Birdwell, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4202 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-248-9966 Fax: 580-248-8313 | |
Steve Egwuonwu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5604 Sw Lee Blvd Ste 245, Lawton, OK 73505 Phone: 580-536-0071 | |
Dr. Pradeep Kumar Mada, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd Ste 103, Lawton, OK 73505 Phone: 580-250-6555 Fax: 580-354-5942 | |
Anmol Baranwal, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 104 Nw 31st St, Lawton, OK 73505 Phone: 580-536-2121 | |
Dr. Mahakit Inklab, MD Nephrology Medicare: Medicare Enrolled Practice Location: 104 Nw 31st, Lawton, OK 73505 Phone: 580-536-2121 Fax: 580-536-2150 | |
Dr. Bette J. Bischoff Glidewell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-510-7037 Fax: 580-510-7038 | |
Dr. Paul Anthony Nioce, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2716 W Gore Blvd Ste C, Lawton, OK 73505 Phone: 580-357-3280 Fax: 580-276-4358 |