Kanayo K Odeluga in East Chicago - Preventive Medicine/occupational Environmental Medicine

Kanayo K Odeluga - NPI 1023173895

Kanayo K Odeluga is a Preventive Medicine/occupational Environmental Medicine in East Chicago, Indiana. Kanayo K Odeluga practices all healthcare services and medical treatments related to Preventive Medicine/occupational Environmental Medicine. The NPI Number for Kanayo K Odeluga is 1023173895. The last update date is 2013-03-21.

Kanayo K Odeluga's current location address is 915 W Chicago Ave, East Chicago, Indiana. You can contact this provider via phone number 2193976000 and fax number 2193976358. The mailing address for Kanayo K Odeluga is 915 W Chicago Ave, East Chicago, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kanayo K Odeluga
Address 915 W Chicago Ave, East Chicago, Indiana
Phone Number 2193976000
Fax Number 2193976358
Sole Proprietor N
Credentials MD, MPH

NPI Number Detail

NPI Number 1023173895
Provider Enumeration Date 2006-12-22
Last Updated Date 2013-03-21

Provider Mailing Address Detail

Address 915 W Chicago Ave
City East Chicago
State Indiana (IN)
Post Code 463123308
Phone Number 2193976000
Fax Number 2193976358

Provider's Primary Taxonomy Detail

Speciality Preventive Medicine/occupational Environmental Medicine
Taxonomy 2083P0500X
Licence No 1047947
Definition:
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000000D93250 ANTHEM BCBS
36092504 IL IL DEPT OF HEALTHCARE & F
80148350 PALMETTO GBA MEDI
10593989 CAQH
200195020 IN --
1047947 IN LICENSING BOARD

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FAQs about Kanayo K Odeluga

What is the unique provider identifier assigned to Kanayo K Odeluga?

The Kanayo K Odeluga has been issued the NPI (National Provider Identifier) 1023173895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Kanayo K Odeluga is located?

The Kanayo K Odeluga is situated at the following address: 915 W Chicago Ave, East Chicago, IN, 463123308.

What is Kanayo K Odeluga's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kanayo K Odeluga is Preventive Medicine/occupational Environmental Medicine, and the corresponding taxonomy classification code for this specialized field is 2083P0500X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023173895 to Kanayo K Odeluga?

The Centers for Medicare & Medicaid Services originally issued the 1023173895 to Kanayo K Odeluga on 2006-12-22.

As of what date was the information regarding Kanayo K Odeluga, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kanayo K Odeluga, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-03-21.

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