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Contact Information

SITARAM G KADEKAR, MD
2050 MEADOWVIEW PARKWAY
KINGSPORT, TN37660-7332
 Phone: 423-230-5000
 Fax: 423-230-5097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical & Laboratory Immunology

207RI0001X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SITARAM G KADEKAR · (Male)

NPI # 1720023021
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 10/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 39206
  • KY Medicaid 64110778
  • TN Medicaid 00217007
  • TN Medicaid 3327537
  • VA Medicaid 010150647
  • TN Other 621112685 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
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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