MISS TANYA ODISHO D.O.
NPI 1851953632
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since July 02, 2019PECOS Enrolled
6071 OUTER DR W, DETROIT, MI 48235(313) 966-4770 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Tanya Odisho D.o. NPPES

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

MISS TANYA ODISHO D.O. (NPI 1851953632) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851953632
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS TANYA ODISHOCredential: D.O.
Location Address6071 OUTER DR WDetroit, MI 48235
Mailing Address6071 Outer Dr WDetroit, MI 48235 · (313) 966-4770
Sole ProprietorNo
Enumeration DateJuly 2, 2019
NPI 1851953632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
6071 OUTER DR W, Detroit, MI 48235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Tanya Odisho D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

Student in an Organized Health Care Education/Training Program
6071 OUTER DR W
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W
DETROIT, MI 48235
Internal Medicine
6071 OUTER DR W, DEPARTMENT OF INTERNAL MEDICINE
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W, DEPARTMENT OF INTERNAL MEDICINE ROOM M408, TRANSITIONAL
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W
DETROIT, MI 48235
Emergency Medicine
6071 OUTER DR W
DETROIT, MI 48235
Internal Medicine
6071 OUTER DR W
DETROIT, MI 48235

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 Tanya Odisho's NPI number?

The NPI number for Tanya Odisho is 1851953632. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Tanya Odisho located?

Tanya Odisho practices at 6071 Outer Dr W, Detroit, MI 48235. The listed phone number is (313) 966-4770.

What is Tanya Odisho's specialty?

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

Is Tanya Odisho enrolled in Medicare?

Yes. Tanya Odisho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanya Odisho was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.