Individual
EMMANUEL O ODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
513 BROOKWOOD BLVD, SUITE 502, BIRMINGHAM, AL 35209-6862
(205) 802-6773
(205) 871-9647
Mailing address
513 BROOKWOOD BLVD, SUITE 502, BIRMINGHAM, AL 35209-6862
(205) 802-6773
(205) 871-9647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00024167
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937655
—
AL
01
—
51518288
BCBS OF ALABAMA
AL
01
—
P00086293
RAILROAD MEDICARE
AL
Enumeration date
06/05/2006
Last updated
04/25/2011
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