DOCTORS CLINIC OF DURANT INC NPI 1598850331

NPI Information

NPI: 1598850331
Provider Name: DOCTORS CLINIC OF DURANT INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1400 BRYAN DR
SUITE 300
DURANT, OK
ZIP 74701
Phone: (580) 924-1700
Get Directions

DOCTORS CLINIC OF DURANT INC is a family medicine in Durant, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DOCTORS CLINIC OF DURANT INC NPI is 1598850331. The provider is registered as an organization entity type.

The provider's business location address is:

1400 BRYAN DR
SUITE 300
DURANT, OK
ZIP 74701-156
Phone: (580) 924-1700
Fax: (580) 924-1736

The provider's authorized official is Koteswar Rao Sureddi .
The authorized official title is Owner and has the following contact phone number (580) 924-1700.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty		OKLAHOMA	No
2	207R00000X	Internal Medicine		23224	OKLAHOMA	No
3	207VG0400X	Obstetrics & Gynecology	Gynecology	11979	OKLAHOMA	No
4	207Q00000X	Family Medicine		11978	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200076210G	MEDICAID	OKLAHOMA
2	100177390A	MEDICAID	OKLAHOMA
3	100733950B	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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