Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southside Urology Clinic, PC

Organization Specialist · NPI 1629247341

Southside Urology Clinic, PC provides Specialist services in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9817 S Western Ave
Oklahoma City, OK 73139-2812 Not confirmed with CMS for 10 years — call before visiting
Phone: (405) 632-4500
Fax: (405) 632-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 3478 (OK)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 3478 (OK)

Record details

NPI number1629247341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajendra Motwani — Owner · (405) 632-4500
NPI enumeratedFebruary 27, 2008
Last updated in NPPESJuly 25, 2016
Mailing address9817 S Western Ave, Oklahoma City, OK 73139-2812

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