Southern Oklahoma Renal Services, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

20569 Issued in OK

Legal business name

SOUTHERN OKLAHOMA RENAL SERVICES, LLC

Practice address

1107 Walnut Dr
Ardmore, OK 73401-2354

Phone

(580) 223-8614

Fax

(580) 223-2561

NPI assigned

Jul 11, 2011

Last updated

Jul 11, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Abdul N Khan, MDNPI 1215919881

Title

Owner

Phone

(580) 223-8614

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdul Nasir Khan, MD

  • Nephrology Physician
  • Gainesville, TX
  • NPI 1215919881
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1891083929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 WALNUT DRIVE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-223-8614",
            "fax_number": "580-223-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-223-8614",
            "fax_number": "580-223-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA RENAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-223-8614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OK",
            "license": "20569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oklahoma Ear Nose Throat and Allgery Clinic Inc
• Southern Oklahoma Kidney Center Inc (Abdul N Khan MD)
• Southern Oklahoma Lifestyles and Preventative Medicine (Paradigm Hormones)
• Southern Oklahoma Multiple Services Inc P C (Bone & Joint Clinic of Southern Oklahoma)
• Southern Oklahoma Podiatry Services PLLC
• Southern Oklahoma Surgical Center Inc
• Southern Oklahoma Surgical Center Inc
• Southern Oklahoma Treatment Services, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Southern Oklahoma Treatment Services, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ardmore, OK
• Providers in Ardmore, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.