Provider Demographics
NPI:1033132188
Name:RODE, GEETA D (MD)
Entity Type:Individual
Prefix:MRS
First Name:GEETA
Middle Name:D
Last Name:RODE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1170 CHARTER DR
Mailing Address - Street 2:STE D
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532
Mailing Address - Country:US
Mailing Address - Phone:810-732-9940
Mailing Address - Fax:810-732-9925
Practice Address - Street 1:1170 CHARTER DR
Practice Address - Street 2:STE D
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-732-9940
Practice Address - Fax:810-732-9925
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI066146207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01034Medicare UPIN