MEDICARE: CHINONSO CYNTHIA ODOEMENE M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1629911714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINONSO CYNTHIA ODOEMENE M.D

Provider Business Mailing Address
First Line	:	3700 WASHINGTON AVENUE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714
Country	:	US
Telephone Number	:	812-485-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 ST DRIVE SUITE 510 EAST
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0511
Country	:	US
Telephone Number	:	812-485-4423
Fax Number	:	812-485-7222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ CHINONSO CYNTHIA ODOEMENE M.D” Practice Location

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