IndividualActive
Bali Sodam, MD
NPI 1689787780 · Nephrology Physician · Lawton, OK
Provider details
- NPI number
- 1689787780
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 24723 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4417 W Gore Blvd
Suite 1
Lawton, OK 73505-5978
Phone: (580) 536-5273
Fax: (580) 357-8500
Approximate (ZIP-level) locationGet directions
Mailing address
4417 W Gore Blvd
Lawton, OK 73505-5978
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2010-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.