MEDICARE: RUTH ODOI MEDICAL PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1720945108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUTH ODOI MEDICAL PLLC

Provider Business Mailing Address
First Line	:	8 PEREGRINE WAY
Second Line	:
City	:	WEBSTER
State	:	NY
Zip	:	14580-8784
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 BEAHAN RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14624-3403
Country	:	US
Telephone Number	:	315-220-0792
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RUTH ODOI
Credential	:	MD
Telephone Number	:	781-864-7195

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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