Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ODILICHI EZENWANNE, M.D.
ActiveDR. ODILICHI EZENWANNE, M.D. is a Public Health & General Preventive Medicine healthcare provider located in TUNICA, Mississippi. NPI 1841504206 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · TUNICA, MS
Registration Details
- NPI Number
- 1841504206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2010 (16.084423662727 yrs)
- Last Updated
- Feb 18, 2020
- Licenses
-
27125 (MS)67275 (WI)
Practice Information
- Address
-
1820 PEABODY STTUNICA, MS, 386769441Browse MS providers · Browse ZIP 38676
- Phone
- 6623633656
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
- Additional Specialty
- Public Health & General Preventive Medicine
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.