| NPI | 1689863946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALI REDDY SODAM Physician 580-536-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 24723) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2010-12-11 |