Individual
DR. ANDREW K ODIONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10835 NORTH 25TH AVENUE, SUITE 115, PHOENIX, AZ 85029-3452
(602) 789-0344
(602) 789-8729
Mailing address
10835 NORTH 25TH AVENUE, SUITE 115, PHOENIX, AZ 85029-3452
(602) 789-0344
(602) 789-8729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40238
AZ
208000000X
Pediatrics Physician
Primary
MD2014-0728
NM
208000000X
Pediatrics Physician
Q2038
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363026
—
AZ
Enumeration date
01/14/2008
Last updated
12/08/2015
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