OrganizationActive
Lawton Nephrology
NPI 1740215235 · Nephrology Physician · Lawton, OK
Provider details
- NPI number
- 1740215235
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bali Sodam, Provider(580) 357-8330
- License
- 24723 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5108 W Gore Blvd
Ste 2
Lawton, OK 73505-6025
Phone: (580) 357-8330
Street-level locationGet directions
Mailing address
5108 W Gore Blvd
Lawton, OK 73505-6025
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.