| NPI | 1740215235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALI REDDY SODAM Provider 580-357-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 24723) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |