Dr. Odilichi Ezenwanne, MD
Dr. Odilichi Ezenwanne, MD is a Family Practice in Tunica, Mississippi. Qualified in 2001, 25 years ago. Practices with Aaron E Henry Community Health, a 13-clinician group and accepts Medicare assignment. Licensed in Mississippi and Wisconsin.
- Years since qualifying
- 25
- Licensed in
- MS, WI
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1820 Peabody StTunica, MS 38676-9441
Phone: (662) 363-3656
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health & General Preventive Medicine Physician (primary) | Taxonomy 2083P0901X · Licence 67275 (WI) |
|---|---|
| Public Health & General Preventive Medicine Physician | Taxonomy 2083P0901X · Licence 27125 (MS) |
Record details
| NPI number | 1841504206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 27, 2010 |
| Last updated in NPPES | February 18, 2020 |
| Certification date | February 18, 2020 |
| Mailing address | 1820 Peabody St, Tunica, MS 38676-9441 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | GENERAL PRACTICE |
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Aaron E Henry Community Health — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |