National Provider Identifier Database

AUDREY R ODOM, MD – NPI #1215949276
Pediatric Infectious Diseases

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.


Contact Information

AUDREY R ODOM, MD
1 CHILDRENS PL STE C
STE C
SAINT LOUIS, MO63110-1002
Phone: 314-454-6050
Fax: 314-454-2836
Website:
Specialty Taxonomy Code
* Pediatric Infectious Diseases 2080P0208X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for AUDREY R ODOM

NPI Number 1215949276
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 01/24/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2008022993
  • IL Medicaid: ENROLLED
  • MO Medicaid: 1215949276
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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