Provider Demographics
NPI:1073808614
Name:ODDIRI, UCHECHI IFEOMA (MD)
Entity Type:Individual
Prefix:DR
First Name:UCHECHI
Middle Name:IFEOMA
Last Name:ODDIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:UCHECHI
Other - Middle Name:IFEOMA
Other - Last Name:ANYANWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:HSC T11 RM 020
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HSC T11 RM 020
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-1425
Practice Address - Country:US
Practice Address - Phone:631-444-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-11
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288353208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics