Individual
MANDEEP SINGH OTHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 W 5TH ST STE 340, ODESSA, TX 79761-5036
(432) 640-3774
(432) 640-4774
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-3774
(432) 640-4774
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
P3560
TX
208VP0000X
Pain Medicine Physician
Primary
P3560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305901601
—
TX
Enumeration date
03/20/2007
Last updated
12/27/2019
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