Ardmore Dialysis Ranch, INC

NPI #1992037626 in Ardmore, Oklahoma

Provider Information

NPI Number: 1992037626
Entity Type: Organization
Organization Name: Ardmore Dialysis Ranch, INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Feb 5, 2010
Last Updated: May 9, 2011

Practice Location

Address: 2617 CROSSROADS DR
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2574
Phone: (580) 490-9844

Authorized Official

Name: DR. ABDUL N KHAN, MD
Title: OWNER
Phone: (580) 223-8614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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