Wafa Odeh, MD

Internal Medicine Physician · Southgate, MI

Individual Active NPI

NPI number 1780657676

Practice location

15777 Northline Rd
Southgate, MI 48195-2385
Phone
(734) 246-8100

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NPI record

NPI
1780657676
Entity type
Individual (Type 1)
Enumeration date
February 10, 2006
Last updated
October 22, 2020
Certified
October 22, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 4301058134 MI

About Dr. Odeh

Wafa Odeh, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 15777 Northline Rd, Southgate, MI 48195-2385. The NPI number 1780657676 was assigned on February 10, 2006 and the record was last updated on October 22, 2020.

Dr. Odeh lists a license in the registry: #4301058134 (MI) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wafa Odeh, MD?

The NPI number is 1780657676.

What is the phone number of Dr. Odeh?

The phone number listed for the practice location is (734) 246-8100.

Where is Dr. Odeh located?

15777 Northline Rd, Southgate, MI 48195-2385.

What is the taxonomy code for Dr. Odeh?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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