Geetha B Kandimala MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

26013 Issued in OK

Legal business name

GEETHA B KANDIMALA MD PC

Practice address

5606 SW Lee Blvd
302
Lawton, OK 73505-9688

Phone

(580) 919-5361

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Geetha Bhavani Kandimala, MD

Title

President

Phone

(580) 919-5361

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5038/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1922369701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "302",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-919-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "302",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-919-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETHA B KANDIMALA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "KANDIMALA",
        "authorized_official_first_name": "GEETHA BHAVANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-919-5361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "26013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200447100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Garza, ATC/L
• Joann Gaston
• Otis Ross Gatewood III, BSBHRS
• Glen Danyell Gatling
• Taylor Gee, MS, CCC-SLP
• Melinda Geimausaddle
• Genesis Medical PLLC
• Gentiva Health Services (USA), LLC (Kindred at Home I)
• George I Bridges DDS Inc
• Honora Georgiou

• Medical Specialty Clinic/Center in Lawton, OK
• Providers in Lawton, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.