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

Southside Urology Clinic, PC

Organization Specialist · NPI 1629247341

Southside Urology Clinic, PC is a Specialist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
Specialties on file
2
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

9817 S Western Ave
Oklahoma City, OK 73139-2812
Phone: (405) 632-4500
Fax: (405) 632-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 3478 (OK)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 3478 (OK)

Record details

NPI number1629247341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajendra Motwani — Owner · (405) 632-4500
NPI enumeratedFebruary 27, 2008
Last updated in NPPESJuly 25, 2016
Mailing address9817 S Western Ave, Oklahoma City, OK 73139-2812

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