| Dr Suhas Damodar Agte, M D | |
| 5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 | |
| (580) 357-8330 | |
| Not Available | 
| Full Name | Dr Suhas Damodar Agte | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Nephrology | 
| Location | 5108 W Gore Blvd, Lawton, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720036122 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 23697 (Oklahoma) | Primary | 
| Entity Name | Dallas Renal Group, P.a. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629186168 PECOS PAC ID: 0244277283 Enrollment ID: O20181221002274 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Suhas Damodar Agte, M D 5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 Ph: (580) 357-8330 | Dr Suhas Damodar Agte, M D 5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 Ph: (580) 357-8330 | 
| Dr. Brian Gillam Birdwell, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4202 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-248-9966 Fax: 580-248-8313 | |
| Steve Egwuonwu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5604 Sw Lee Blvd Ste 245, Lawton, OK 73505 Phone: 580-536-0071 | |
| Dr. Pradeep Kumar Mada, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd Ste 103, Lawton, OK 73505 Phone: 580-250-6555 Fax: 580-354-5942 | |
| Anmol Baranwal, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 104 Nw 31st St, Lawton, OK 73505 Phone: 580-536-2121 | |
| Dr. Bette J. Bischoff Glidewell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-510-7037 Fax: 580-510-7038 | |
| Dr. Paul Anthony Nioce, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2716 W Gore Blvd Ste C, Lawton, OK 73505 Phone: 580-357-3280 Fax: 580-276-4358 | |
| Mr. Carlos Zamora, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-353-0350 Fax: 580-353-7143 |