Provider Demographics
NPI:1114040219
Name:NEMRI MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:NEMRI MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-756-1404
Mailing Address - Street 1:500 BONITA CIR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1305 W. CHEROKEE
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:OK
Practice Address - Zip Code:73052-0888
Practice Address - Country:US
Practice Address - Phone:405-756-1404
Practice Address - Fax:405-756-1476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty