Odell, George J.
Odell, George J. is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite #235, Annapolis MD 21401-3046. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Odell, George J. can be contacted via phone (410) 266-2770.Contact Information
Primary practice address
2002 Medical Pkwy Suite #235
Annapolis MD 21401-3046
Phone: (410) 266-2770
Fax: (410) 841-6251
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0047290 | Maryland |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G74569 | California |
Profile Details
NPI number | 1699766584 |
---|---|
LBN Legal business name | Odell, George J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Sep 16th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699766584 | NPPES |
Maryland | Other | 2622593 | AETNA HMO/POS |
Maryland | Other | 10690005 | AETNA HMO/POS |
Maryland | Other | A17 | AETNA HMO/POS |
Maryland | Other | 300051935 | AETNA HMO/POS |
Maryland | Other | 732C | AETNA HMO/POS |
Maryland | MEDICAID | 462150600 | AETNA HMO/POS |
Maryland | Other | 27AN | AETNA HMO/POS |
Maryland | Other | 300094986 | AETNA HMO/POS |
Maryland | Other | 8317071 | AETNA HMO/POS |
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