UNIVERSAL KIDNEY CARE OF OKLAHOMA PLLC (NPI# 1710416573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710416573 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL KIDNEY CARE OF OKLAHOMA PLLC |
| Practice Address |
5300 N Independence Ave Ste 280 Oklahoma City OK 73112-5555 |
| Mailing Address |
1605 Nw 176th St Edmond OK 73012-6910 |
| Practice Telephone | 4059360504 |
| Practice Fax Number | 4059360561 |
| Mailing Telephone | 4054178573 |
| Mailing Fax Number | 4059360561 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Authorized Official Name | AHMAD BALIL (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4054178573 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
26355 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
5300 N INDEPENDENCE AVE STE 280 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710393160 | Narisorn Atsava-svate | Internal Medicine | 3400 Nw Expressway Ste 700, Oklahoma City, OK 73112-4492 | 2014-07-07 |
| 1730515362 | Fazal Akbar Ali Md PC | Internal Medicine | 4221 S Western Ave Ste 5020, Oklahoma City, OK 73109-3445 | 2013-09-14 |
| 1609030345 | Ahmad Bilal | Internal Medicine | 3366 Nw Expressway #730, Bldg D, Oklahoma City, OK 73112 | 2008-07-11 |
| 1134272933 | Rajesh Kumar | Internal Medicine | 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 | 2007-01-18 |
| 1265510101 | Radhika Medipalli | Internal Medicine | 13901 Mcauley Blvd Ste 303, Oklahoma City, OK 73134-8704 | 2006-11-01 |
| 1770684037 | Gigi J Toma | Internal Medicine | 810 Nw 10th Street, Suite A, Oklahoma City, OK 73106 | 2006-09-26 |
| 1033146550 | T V Venkataraman | Internal Medicine | 1110 N Classen Blvd Ste 200, Oklahoma City, OK 73106 | 2006-06-28 |
| 1851351969 | Leroy Southmayd IIi | Internal Medicine | 1202 W Wilshire Blvd, Oklahoma City, OK 73116-6109 | 2006-03-23 |
| 1326047226 | Chris M Sholer | Internal Medicine | 4334 Nw Expressway Ste 106, Oklahoma City, OK 73116-1515 | 2005-07-21 |
| 1689679623 | Sudhir Kumar Khanna | Internal Medicine | 3366 Nw Expressway, Ste 550, Oklahoma City, OK 73112-4489 | 2005-06-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.