Odumodu, Nwanneka U.

Odumodu, Nwanneka U. is an individual health care provider with primary practice located at 16184 E 10 Mile Rd Ste 101 , Eastpointe MI 48021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Odumodu, Nwanneka U. can be contacted via phone (586) 779-4550.

Contact Information

Primary practice address
16184 E 10 Mile Rd Ste 101 Eastpointe MI 48021
Phone: (586) 779-4550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301077637 Michigan

Profile Details

NPI number 1619934320
LBN Legal business name Odumodu, Nwanneka U.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 22nd, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619934320 NPPES
Other 080H262390 BLUE CROSS-BLUE CROSS
MEDICAID 478692310 BLUE CROSS-BLUE CROSS
Other NO077637 BLUE CROSS-BLUE CROSS
Other NO077637 BLUE CROSS-BLUE CROSS

Popular Providers