Kanayo K Odeluga in East Chicago - General Practice
Kanayo K Odeluga - NPI 1023173895
Kanayo K Odeluga is a General Practice in East Chicago, Indiana. Kanayo K Odeluga practices all healthcare services and medical treatments related to General Practice. 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 | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 1047947 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and 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 |
Post Comment/ Review Below
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 General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
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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