IndividualActive
Odilichi Ezenwanne, M.D.
NPI 1841504206 · Public Health & General Preventive Medicine Physician · Tunica, MS
Provider details
- NPI number
- 1841504206
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 27125 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1820 Peabody St
Tunica, MS 38676-9441
Phone: (662) 363-3656
Approximate (ZIP-level) locationGet directions
Mailing address
1820 Peabody St
Tunica, MS 38676-9441
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2020-02-18
- Certified
- 2020-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.