Oduah Daniel Osaro
Family Doctor Family Doctor - Addiction Medicine
108 S 4th St
Clinton
, Iowa 52732-4425
Oduah Daniel Osaro
Family Doctor Family Doctor - Addiction Medicine
108 S 4th St
Clinton
, Iowa 52732-4425
(563) 241-1243
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Oduah Daniel Osaro
- 108 S 4th St
- Clinton, IA
- Zip : 52732-4425
- Fax : (563) 241-1243
- Phone : (563) 241-1239
Second Address
- Oduah Daniel Osaro
- 108 S 4th St
- Clinton, IA
- Zip : 52732-4425
- Fax : (563) 241-1243
- Phone : (563) 241-1239
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 31351 | IA |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 31351 | IA |
National Provider Identifier
| NPI | 1821095787 |
|---|---|
| Provider Name | Oduah Daniel Osaro |
| First Address | Clinton, IA 52732-4425 |
| Second Address | Clinton, IA 52732-4425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2005 |
| Last Update Date | 10/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31351 | LICENSE (01) | IA |
| 9139113 | (05) | IA |
| F47096 | (02) | IA |
| I12915 | CLINTON URGENT CARE P.L.C MEDICARE NUMBER (01) | IA |
| I13066 | ODUAH OSARO M.D;MEDICARE NUMBER (01) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.