Dr. Isaac A Odudu

MD | Pediatrics | Male

Dr. Isaac A Odudu, MD is a Mandeville, Louisiana based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Isaac A Odudu is 639 Lotus Dr N, Suite B, Mandeville, Louisiana - 70471-2926. He can be contacted on phone at 985-626-6133 and fax number 985-626-6136. Dr. Isaac A Odudu is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Isaac A Odudu is 1780780528 which was assigned by NPPES on 16 Sep, 2006 and it was last updated on 19 Aug, 2010. Dr. Isaac A Odudu license number is 13224R for Pediatrics (208000000X) in Louisiana.
Dr. Isaac A Odudu is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Isaac A Odudu basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Isaac A Odudu
Credential :MD
Gender :Male
Sole Proprietor : Yes
Business Address:
Dr. Isaac A Odudu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :639 Lotus Dr N, Suite B
Mandeville, LA, 70471-2926
United States
Phone Number :985-626-6133
Fax Number :985-626-6136
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1780780528
NPI Entity Type : Individual
First Enrolment Date : 16 Sep, 2006
Last Updated On : 19 Aug, 2010
Medicare Participation:
Dr. Isaac A Odudu participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :5991783250
Medicare Enrollment ID :I20040712001597
Primary Specialty :Pediatric Medicine
Medical School :Other
Graduation Year :1987
Accepts Medicare?Yes. Dr. Isaac A Odudu accepts medicare insurance.
Group Practice Association:
Dr. Isaac A Odudu is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Isaac A Odudu is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Ess Of Ferriday Llc2769876275156569 Hwy 84
Ferriday, LA - 713344573
Ph: 9729343200
Yes
Kisatchie Emergency Group Llc9537400270201020 W Fertitta Blvd
Leesville, LA - 714464645
Ph: 3372395278
Yes
Emergency Staffing Solutions Inc983000165010207 Jefferson St
Mansfield, LA - 710522603
Ph: 3188720821
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Isaac A Odudu are as mentioned. Primary taxonomy code for Dr. Isaac A Odudu, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes13224RLA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Isaac A Odudu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
1558346MEDICAIDLA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :208 Ridgewood Blvd
Alexandria, LA, 71303-3320
United States
Phone Number :318-483-6571
Business Location:
Patients can refer following map for directions to Dr. Isaac A Odudu practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.