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Individual

DENNIS ODIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9106 PHILADELPHIA ROAD, SUITE 200, BALTIMORE, MD 21237-4329
(410) 780-1980
(410) 780-1984
Mailing address
9106 PHILADELPHIA ROAD, SUITE 200, BALTIMORE, MD 21237-4329
(410) 780-1980
(410) 780-1984

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
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