Individual
CHISOM OFODIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3440
Mailing address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A173586
CA
Other
Enumeration date
06/25/2018
Last updated
02/01/2022
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