Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Comanche Nephrology PC

Organization Nephrology Physician · NPI 1689863946

Comanche Nephrology PC provides Nephrology Physician services in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4417 W Gore Blvd Ste 1
Lawton, OK 73505-5978 Not confirmed with CMS for 15 years — call before visiting
Phone: (580) 536-5273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 24723 (OK)

Record details

NPI number1689863946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bali Sodam — Physician · (580) 536-5273
NPI enumeratedOctober 23, 2007
Last updated in NPPESDecember 11, 2010
Mailing address4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978

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