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DR. ODEOSAMAMWEN IDAHOR MD
NPI 1356137236
Student in an Organized Health Care Education/Training Program in Woonsocket, RI

Active since April 16, 2025
115 CASS AVE, WOONSOCKET, RI 02895(401) 769-4100 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Odeosamamwen Idahor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ODEOSAMAMWEN IDAHOR MD (NPI 1356137236) is an individual student in an organized health care education/training program in Woonsocket, Rhode Island and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1356137236
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ODEOSAMAMWEN IDAHORCredential: MD
Location Address115 CASS AVEWoonsocket, RI 02895-4731
Mailing Address115 Cass AveWoonsocket, RI 02895-4731
Phone(401) 769-4100
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1356137236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
115 CASS AVE, Woonsocket, RI 02895
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES J KIM MD
Anesthesiology
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANA ADEL TANNOUS MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
BLACKSTONE MEDICAL CENTER, INC.
Internal Medicine
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. OMAR ALKASABRAH MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANDMARK MEDICAL CENTER
Internal Medicine (Cardiovascular Disease)
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. DAREN D GIRARD MD
Emergency Medicine
115 CASS AVE, EMERGENCY MEDICINE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
EMILY HOCHREINER
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
SALMAN AYUB JAJJA MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odeosamamwen Idahor's NPI number?

The NPI number for Odeosamamwen Idahor is 1356137236. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Odeosamamwen Idahor located?

Odeosamamwen Idahor practices at 115 Cass Ave, Woonsocket, RI 02895. The listed phone number is (401) 769-4100.

What is Odeosamamwen Idahor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Odeosamamwen Idahor was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.