Odudu, Isaac A
Odudu, Isaac A is an sole proprietor health care provider with primary practice located at 639 Lotus Dr N Suite B, Mandeville LA 70471-2926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Odudu, Isaac A can be contacted via phone (985) 626-6133.Contact Information
Primary practice address
639 Lotus Dr N Suite B
Mandeville LA 70471-2926
Phone: (985) 626-6133
Fax: (985) 626-6136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13224R | Louisiana |
Profile Details
| NPI number | 1780780528 |
|---|---|
| LBN Legal business name | Odudu, Isaac A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Aug 19th, 2010 - about 15 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 | 1780780528 | NPPES |
| Louisiana | MEDICAID | 1558346 |
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