Individual
JONAH N.K. ODIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
9801 TRAVILLE COMMONS DR, THE JNKO GROUP, LLC SUITE 302, ROCKVILLE, MD 20850-7493
(301) 340-2823
Mailing address
9801 TRAVILLE COMMONS DR, THE JNKO GROUP, LLC SUITE 302, ROCKVILLE, MD 20850-7493
(301) 340-2823
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0065408
MD
2086S0102X
Surgical Critical Care Physician
D0065408
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D0065408
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G83772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G837720
MEDICAL PPIN #
CA
Enumeration date
08/16/2006
Last updated
09/11/2025
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