Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHALILAH ODOM
ActiveKHALILAH ODOM is a Foot & Ankle Surgery healthcare provider located in MICHIGAN CITY, Indiana. NPI 1376355917 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · MICHIGAN CITY, IN
Registration Details
- NPI Number
- 1376355917
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2025 (1.5799049485878 yrs)
- Last Updated
- Oct 21, 2025
- Licenses
-
25018545 (IN)25-018545-1 (IN)
Practice Information
- Address
-
2302 E MICHIGAN BLVDMICHIGAN CITY, IN, 463605372Browse IN providers · Browse ZIP 46360
- Phone
- 2192294421
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
- Additional Specialty
- In Home Supportive Care Agency
- Additional Specialty
- Foot & Ankle Surgery
Other Foot & Ankle Surgery Providers in MICHIGAN CITY, IN
| Name | Credential | NPI |
|---|---|---|
| JASMINE MCFERSON | — | 1871246900 |
| KIMBERLY BUSH | — | 1548964885 |
| LATISHA KENDLE | — | 1568289817 |
| LATRENIA ANDERSON | — | 1417769936 |
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.