Dr. Sitaram G Kadekar, MD
Internal Medicine, Cardiovascular Disease in Kingsport, TN. Individual provider (NPI-1).
NPI number1720023021
StatusActive
Last updated in NPPESOct 23, 2012
Details
- NPI
- 1720023021
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sitaram G Kadekar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2006
- Last updated
- Oct 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 39206 | TN | Yes |
| 174400000X | Specialist | 39206 | TN | |
| 207RI0001X | Internal Medicine, Clinical & Laboratory Immunology | 39206 | TN |
Practice location
2050 Meadowview ParkwayKingsport, TN 37660-7332
Phone 423-230-5000 · Fax 423-230-5097
Mailing address
15241 Heather Mill LnHaymarket, VA 20169-6220
Phone 571-261-9987
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