Individual
TED GEORGE ODY ACHUFUSI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9410 CALUMET AVE STE 401, MUNSTER, IN 46321-0018
(219) 922-4900
(219) 836-9922
Mailing address
6738 BLACKSTONE CIR, PORTAGE, IN 46368-2693
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01093494A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
04/09/2025
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