Individual
DR. JOHN ODEH ISSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 9TH AVE SW, SUITE 200, BESSEMER, AL 35022-4527
(205) 481-7485
(205) 481-7494
Mailing address
975 9TH AVE SW, SUITE 200, BESSEMER, AL 35022-4527
(205) 481-7485
(205) 481-7494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13626
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030139
—
AL
01
—
020045510
RAILROAD MEDICARE
AL
Enumeration date
11/13/2006
Last updated
03/26/2009
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