Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KANAYO K ODELUGA
Active
Individual
KANAYO K ODELUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01047947
IN
207R00000X
Internal Medicine Physician
036092504
IL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
01047947
IN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
036092504
IL
208D00000X
General Practice Physician
Primary
01047947
IN
208D00000X
General Practice Physician
036092504
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000D93250
ANTHEM BCBS
—
01
—
01047947
LICENSING BOARD
IN
01
—
036092504
IL DEPT OF HEALTHCARE & F
IL
01
—
080148350
PALMETTO GBA MEDI
—
01
—
10593989
CAQH
—
05
—
200195020
—
IN
Enumeration date
12/22/2006
Last updated
03/21/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers