Individual
JOHN KALU ODEGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN ROAD, DURHAM, NC 27710-3816
(919) 684-2711
Mailing address
600 WILLARD ST UNIT 428, DURHAM, NC 27701-4591
(864) 684-6472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RTL21-1169
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
07/06/2021
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