DR. Tariq Yousef Elias Odeh, MD is a student in an organized health care education training program in Gainesville, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Tariq Yousef Elias Odeh, MD NPI is 1770143539. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501-899
Phone: (770) 219-8734
The NPI 1770143539 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/14/2019 and was last updated on 6/14/2019.