Geetha B Kandimala


Address: 5606 Swlee Blvd, Suite 302, Lawton, OK 73505-9618

Geetha B Kandimala (NPI# 1922200435, PAC ID# 1456426980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.

Physician Overview

Nation Provider ID (NPI) 1922200435
PAC ID by PECOS 1456426980
Professional Enrollment ID I20080819000361
Full Name Geetha B Kandimala
Address 5606 Swlee Blvd
Suite 302
Lawton
OK 73505-9618
Gender F
Medical School UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL
Graduation Year 2001
Primary Specialty NEUROLOGY
Secondary Specialties NEUROPSYCHIATRY, SLEEP MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370097 SOUTHWESTERN MEDICAL CENTER
370056 COMANCHE COUNTY MEMORIAL HOSPITAL
370023 DUNCAN REGIONAL HOSPITAL, INC
370022 JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
370093 OU MEDICAL CENTER

Other Locations

Address Phone Organization
5606 Swlee Blvd, Suite 302, Lawton, OK 73505-9618

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 5606 SWLEE BLVD
SUITE 302
City LAWTON
State OK
Zip 73505-9618

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James W Toy Chiropractic 7007 Nw Cache Rd, Lawton, OK 73505-2707
Douglas M Smith Chiropractic 7007 Nw Cache Rd, Lawton, OK 73505-2707
Mary P Cupit Chiropractic 5525 Nw Cache Rd, Suite 1, Lawton, OK 73505-3300
Krista J Gordon Family Medicine 5366 Nw Cache Rd, Suite 6, Lawton, OK 73505-3353
Brian K Rich Interventional Pain Management 5370 Nw Cache Rd, Suite 4, Lawton, OK 73505-3371
Jonathan D Barras Certified Registered Nurse Anesthetist (crna) 5370 Nw Cache Rd, Suite 4, Lawton, OK 73505-3371
Michael A Curtis Optometry Oklahoma Eye Institute 5370 Nw Cache Rd, Suite 6, Lawton, OK 73505-3371
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Competitor

Search similar physicians

City LAWTON
Zip Code 73505
Specialty NEUROLOGY
City + Specialty LAWTON + NEUROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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