NPI
Odilichi Ezenwanne
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2010-07-27
- Last updated
- 2020-02-18
Specialties
Licenses
- License MS
- 27125
- License WI
- 67275
Location
- Practice location
- 1820 Peabody St
- City
- Tunica MS
- Postal code
- 38676-9441
- Phone
- (662) 363-3656
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Tunica, MS. 38 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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