Active NPI
Madina Medical Group PC Inc
- Nephrology Physician
- Edmond, OK
National Provider Identifier
1710816673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MADINA MEDICAL GROUP PC INC
- Practice address
- 800 W 18TH St Ste 140
Edmond, OK 73013-3759 - Phone
- (716) 238-1473
- NPI assigned
- May 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Talal Ali Khan, M.D
- Title
- Owner
- Phone
- (716) 238-1473
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
800 W 18TH St Ste 140
Edmond, OK 73013-3759
Mailing address
209 NW 151St St
Edmond, OK 73013-1736
Phone (716) 238-1473
National Provider Directory
National Provider DirectoryLocations
800 W 18th St
Edmond, OK 73013
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Oklahoma City, OK
- NPI 1629303938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1710816673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 NW 151ST ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131736",
"telephone_number": "716-238-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 18TH ST STE 140",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133759",
"telephone_number": "716-238-1473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADINA MEDICAL GROUP PC INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-17",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "TALAL",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-238-1473",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.