Healthcare Provider Details

I. General information

NPI: 1902720014
Provider Name (Legal Business Name): MAHA AHMAD ODEH M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR DEPARTMENT OF PEDIATRICS
IOWA CITY IA
52242
US

IV. Provider business mailing address

200 HAWKINS DRIVE 2015-26BT
IOWA CITY IA
52242
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-3462
  • Fax: 319-356-4855
Mailing address:
  • Phone: 319-356-3462
  • Fax: 319-356-4855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: