Mr Bali Reddy Sodam, MD | |
4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | |
(580) 536-5273 | |
(580) 357-8500 |
Full Name | Mr Bali Reddy Sodam |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 30 Years |
Location | 4417 W Gore Blvd, Lawton, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689787780 | NPI | - | NPPES |
200074670A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 24723 (Oklahoma) | Primary |
Entity Name | Comanche Nephrology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689863946 PECOS PAC ID: 0648360222 Enrollment ID: O20071219000649 |
Mailing Address | Practice Location Address |
---|---|
Mr Bali Reddy Sodam, MD 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 Ph: (580) 536-5273 | Mr Bali Reddy Sodam, MD 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 Ph: (580) 536-5273 |
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 |