Individual provider · NPI-1

Dr. Samuel Odame Anim, MD

Pediatrics, Pediatric Hematology-Oncology · Fargo, ND

NPI number1053514844
StatusActive
Last updated in NPPESAug 30, 2022

Details

NPI
1053514844
Entity type
Individual (NPI-1)
Name
Dr. Samuel Odame Anim
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2007
Certification date
Apr 26, 2022
Last updated
Aug 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0207X Pediatrics, Pediatric Hematology-Oncology11958NDYes
208000000X Pediatrics4301087288MI
2080P0207X Pediatrics, Pediatric Hematology-Oncology54658MN
390200000X Student in an Organized Health Care Education/Training Program4301087288MI

Practice location

801 Broadway N
Fargo, ND 58102-3641

Phone 701-234-2000 · Fax 701-234-2345

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 605-328-6585

Other practice locations

820 4th St N
Fargo, ND 58102-4539

Phone 701-234-7544

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