Ebele C Odonwodo in Grand Rapids - Internal Medicine
Ebele C Odonwodo - NPI 1336331891
Ebele C Odonwodo is a Internal Medicine in Grand Rapids, Michigan. Ebele C Odonwodo practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ebele C Odonwodo is 1336331891. The last update date is 2019-09-26.
Ebele C Odonwodo's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163913139 and fax number 6163913044. The mailing address for Ebele C Odonwodo is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ebele C Odonwodo |
|---|---|
| Address | 100 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6163913139 |
| Fax Number | 6163913044 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336331891 |
|---|---|
| Provider Enumeration Date | 2007-08-17 |
| Last Updated Date | 2019-09-26 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6163913139 |
| Fax Number | 6163913044 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301097441 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336331891 | MI | -- | |
| 1417961137 | MI | BCBSM - BMH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ebele C Odonwodo by the Centers for Medicare & Medicaid Services?
The Ebele C Odonwodo has been issued the NPI (National Provider Identifier) 1336331891, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ebele C Odonwodo's facilities are situated?
The facilities of Ebele C Odonwodo are physically located at the following address: 100 Michigan St Ne, Grand Rapids, MI, 495032560.
What is Ebele C Odonwodo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ebele C Odonwodo is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Ebele C Odonwodo receive the assignment of its 1336331891 from the Centers for Medicare & Medicaid Services?
The Ebele C Odonwodo was issued its 1336331891 by the Centers for Medicare & Medicaid Services on 2007-08-17.
When was the information pertaining to Ebele C Odonwodo most recently updated or revised?
The details related to Ebele C Odonwodo, including its address, specialty, and other relevant information, were last updated or revised on 2019-09-26.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA