Provider Demographics
NPI:1144762493
Name:KODE MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:KODE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:KODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-760-6412
Mailing Address - Street 1:1330 E 35TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2651
Mailing Address - Country:US
Mailing Address - Phone:918-760-6412
Mailing Address - Fax:
Practice Address - Street 1:1330 E 35TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-2651
Practice Address - Country:US
Practice Address - Phone:918-760-6412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health