DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BALI REDDY SODAM, MD

Active Sole Proprietor

Nephrology · LAWTON, OK

Registration Details

NPI Number
1689787780
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2006 (19.747481184017 yrs)
Last Updated
Dec 8, 2010
License
24723 (OK)
Sole Proprietor
Yes

Practice Information

Address
4417 W GORE BLVD
SUITE 1
LAWTON, OK, 735055978
Browse OK providers · Browse ZIP 73505
Phone
5805365273
Fax
5803578500
Primary Specialty
Nephrology
207RN0300X

Other Nephrology Providers in LAWTON, OK

Name Credential NPI
DR. SUHAS DAMODAR AGTE M D 1720036122
DR. MAGDALENA BARBARA SIKORA M.D. 1598896110
SUNIL SHERCHAN M.D. 1962885350
DR. CHINEDU O NWACHUKWU MD 1205312253
AIMAN AJAZ 1235792722
SYED MUHAMMAD AZEEM AFZAL MD 1376160929
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.