Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBENEZER KOFI BENTUM ODOOM, MD
ActiveEBENEZER KOFI BENTUM ODOOM, MD is a Gastroenterology healthcare provider located in QUEENS VILLAGE, New York. NPI 1154416691 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · QUEENS VILLAGE, NY
Registration Details
- NPI Number
- 1154416691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.908704468907 yrs)
- Last Updated
- Oct 23, 2024
- License
-
230787 (NY)
Practice Information
- Address
-
21530 HILLSIDE AVEQUEENS VILLAGE, NY, 114271831Browse NY providers · Browse ZIP 11427
- Phone
- 7187401701
- Fax
- 7187401901
- Primary Specialty
-
Gastroenterology
207RG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.