# JONAH N.K. ODIM

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811000565
- **Gender:** Man
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | D0065408 | MD | — |
| 2086S0102X | Surgical Critical Care Physician | D0065408 | MD | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | D0065408 | MD | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G83772 | CA | — |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 09/11/2025