HomeNPI Verification

NPI Verification

National Provider Identifier: 1033353792

Ted George Ody Achufusi, DO

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (4)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

6738 BLACKSTONE CIR

PORTAGE, IN 463682693

Phone: 347-854-8171

NPI Enumeration Date

April 26, 2009

NPI Number

1033353792

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry