Individual provider · NPI-1

Odaro Adu, MD

Student in an Organized Health Care Education/Training Program · El Paso, TX

NPI number1982599569

StatusActive

Last updated in NPPESJun 12, 2025

Details

NPI: 1982599569
Entity type: Individual (NPI-1)
Name: Odaro Adu
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 12, 2025
Certification date: May 31, 2025
Last updated: Jun 12, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	BP10095725	TX	Yes

Practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Phone 915-215-8000

Mailing address

4801 Alberta Ave
El Paso, TX 79905-2707

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