OrganizationActive
Abolghasem Rezaei MD PC
NPI 1366538183 · Family Medicine Physician · Lawton, OK
Provider details
- NPI number
- 1366538183
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Abolghasem Rezaei, Owner
- License
- 23655 (OK)
Practice location
4121 W Gore Blvd
Lawton, OK 73505-6336
Phone: (580) 699-5511
Fax: (580) 699-5519
Mailing address
4121 W Gore Blvd
Lawton, OK 73505-6336
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2021-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.