Ndukwe Nwora Odeluga, M.D., MPH
Individual provider Active NPI Family Medicine Physician · Taft, CA
NPI 1861614976 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861614976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A76572 (CA)
- Practice address
- 1500 Cadet Rd
Taft Correctional Institution, Health Services Unit
Taft, CA 93268-4800 - Phone
- (661) 763-2510
- Fax
- (661) 765-3010
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76572 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A76572 | CA | Yes |
Addresses
Primary practice location
1500 Cadet Rd
Taft Correctional Institution, Health Services Unit
Taft, CA 93268-4800
Mailing address
11101 Myers Ranch CT
Bakersfield, CA 93311-2898
Phone (661) 301-0679
Other providers in Taft, CA
- Destiny Marie Newberry
- Gregory K Newton
- Christian Quang Nguyen
- Karen Nguyen
- Angelina Elizabeth Nichols
- Jennifer Diane Ogilvie
- Marie Artisha Gallego Olsen
- Omni Family Health
- Omni Family Health
- Omni Family Health
All providers in Taft, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.