Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Comanche Nephrology PC

Organization Nephrology Physician · NPI 1689863946

Comanche Nephrology PC is a Nephrology Physician 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
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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