Individual
DENNIS ODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0055306
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012403600
MEDICAL ASSISTANCE
MD
01
—
013868
JOHNS HOPKINS HEALTHCARE
MD
01
—
0404280
UNITED HEALTH CARE
MD
01
—
0P94DH 61009605
CAREFIRST
MD
01
—
0P94DH 61009606
CAREFIRST
MD
01
—
110221459
RAILROAD MEDICARE
GA
01
—
21D1019527
CLIA NUMBER
MD
01
—
2579562
AETNA HMO
—
01
—
537R
MEDICARE
MD
01
—
673115
NCPPO
—
01
—
7396509
MAMSI
MD
01
—
7944212
AETNA PPO
—
01
—
H34457
MEDICARE UPIN
—
01
—
S206 0001
CAREFIRST
DC
Enumeration date
07/05/2006
Last updated
11/29/2023
Update your record
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