WAFA ODEH (MD) – Internal Medicine Physician, NPI 1780657676

Internal Medicine Physician

WAFA ODEH (MD) is a healthcare provider. based in Southgate, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301058134 (MI). The NPI Number for WAFA ODEH (MD) is 1780657676

Main info

Female

Sole Proprietor

44 Years Of Experience

Accepts Medicare Assignment

Name

WAFA ODEH (MD)

NPI

1780657676

Phone

Not provided

Address

15777 NORTHLINE RD

Enumeration Date

10 February 2006

Last Update Date

22 October 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7349411070

Graduation Year

1982 (44 years ago)

PAC ID

6305829300

Group Practice PAC ID

1850282914

Professional Enrollment ID

I20040610001049

Contacts

Secure Messaging

wodeh108909@direct.beaumont.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for WAFA ODEH (MD)

Northline Road, Southgate, Wayne County, Michigan, 48192, United States
SOUTHGATE, MI 481952385
Phone:
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48195)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1850282914View full group profile

Name	Specialty	State
JAMES CHOI (M.D.)	Family Practice	MI
DR. NICHOLAS E BOGGS (D.O.)	Family Practice	MI
DR. RACHA EL-LADKI (DO)	-	MI
DR. DEMETRIOS MERMIGES (M.D.)	-	MI
DR. TANIA SADIK (M.D.)	Internal Medicine	MI
DR. MOHAMMED WAGEH SAAD (M.D.)	Family Practice	MI
DR. SARAH GAMMOUH (M.D.)	Family Practice	MI
SHOSHAN P ZOLO (MD)	Family Practice	MI
MATTHEW JOHN SEBASTIAN (DO)	Family Practice	MI
Unknown Individual	-	MI

Reviews

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Frequently asked questions

How is WAFA ODEH (MD) identified in CMS data?

CMS-hosted NPPES data lists WAFA ODEH (MD) with NPI 1780657676.

Does CMS list WAFA ODEH (MD) as active?

Yes — WAFA ODEH (MD) is active in the NPI listing used on this page.

What taxonomy line describes WAFA ODEH (MD)?

For research purposes, treat WAFA ODEH (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where is WAFA ODEH (MD) based?

WAFA ODEH (MD) is tied to Southgate, Michigan in the data we show; additional addresses may exist on the full record.

How many locations tie to this NPI?

2 practice locations appear in the available data.