Individual
DENNIS MARTIN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
35452
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-54634
UNITED HEALTHCARE
NC
01
—
16-54635
UNITED HEALTHCARE
NC
01
—
16-54636
UNITED HEALTHCARE
NC
01
—
63128
MEDCOST
NC
01
—
63161
MEDCOST
NC
01
—
63189
MEDCOST
NC
01
—
63758
BLUECROSS BLUESHIELD
NC
01
—
7208057
VIRGINIA MEDICAID
VA
05
—
8963758
—
NC
Enumeration date
06/06/2006
Last updated
07/13/2026
Update your record
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