DR. LUKE ODISHO


Address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
Phone: 2488985000

DR. LUKE ODISHO (NPI# 1427671924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427671924
Entity Type Individual
Full Name DR. LUKE ODISHO
Credential MD
Practice Address 3601 W 13 Mile Rd
Royal Oak
MI 48073-6712
Practice Telephone 2488985000
Mailing Telephone 2488985000
Enumeration Date 2020-05-19
Last Update Date 2020-05-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
4351046207 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 3601 W 13 MILE RD
City ROYAL OAK
State MI
Zip Code 48073-6712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437155538 Cheryl A Grain Nurse Practitioner 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 2005-06-23
1023617735 Kevin Wilson Curtis Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-22
1164020939 Chelsea Cloke Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-14
1073111258 Jaimie Danno Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-11
1447857883 Pamela Ann Boyd Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-08
1528675618 Riya Kaur Kalra Pediatrics 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-23
1174139612 Kostiantyn Romaniv Internal Medicine 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-21
1538775325 Adam L Hardy Occupational Therapist 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-17
1164038964 Patricia W Choi Pharmacy 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-17
1598377004 Medical Service Companies Durable Medical Equipment & Medical Supplies 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306114 Spine and Joint Surgical Institute of Michigan, LLC Clinic/Center 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 2020-08-11
1528679081 Activo Physical Therapy, LLC Clinic/Center 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 2020-08-10
1265057624 Olga Romina Gomez Rojas Internal Medicine 3607 W 13 Mile Rd, Royal Oak, MI 48073 2020-06-11
1598389785 Devika Aggarwal Internal Medicine 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 2020-06-03
1831713064 Michael Morelli Physical Medicine & Rehabilitation Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 2020-06-03
1134741895 Kamil Sardarli Internal Medicine Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 2020-05-15
1245850171 Dema Fawaz Emergency Medicine Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 2020-04-21
1235771049 Semaan Dentistry Pllc Dentist 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 2019-10-14
1013560473 Muhammad Waqas Pediatrics Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 2019-07-24
1346804135 Matthew M Astolfi Orthopaedic Surgery 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 2019-04-26
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629365275 Kabir Gandhi Radiology 101 Curry Ave, Unit 620, Royal Oak, MI 48067-4229 2011-07-04
1881829166 Tonie Reincke Radiology 1613 Midland Blvd, Royal Oak, MI 48073-5602 2009-05-15
1891992574 Laurie Marie Vance Radiology 724 S Pleasant St, Royal Oak, MI 48067-3110 2007-06-27
1043220205 Beaumont Special Radiological Procedures Radiology 3601 W Thirteen Mile Rd, Royal Oak, MI 48073 2006-08-09
1124034624 Tarun Gupta Radiology 3601 W. 13 Mile Road, William Beaumont Hospital, Royal Oak, MI 48073 2006-08-01
1669445268 David Robert Marcantonio Radiology 3601 W 13 Mile Road, Diagnostic Radiology, Royal Oak, MI 48703-6769 2006-02-13
1437776028 Carol Cavalcante De Vasconcelos Lima Radiology 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-06-29
1750906566 Mehdy Haidar Radiology 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-06-08
1417570169 Adela Pouzar Radiology 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-05-28
1407479777 Belinda Asare Radiology 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-05-21
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Competitor

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City ROYAL OAK
Zip Code 48073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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