Individual
DR. OSAMEDE EDOKPOLO
Active
Individual
DR. OSAMEDE EDOKPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2013002773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326334459
—
MO
05
—
198983001
—
AR
01
—
431560263
TRICARE
MO
01
—
P01222578
RR MCR
MO
Enumeration date
06/27/2011
Last updated
12/31/2025
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