Kadekar, Sitaram G

Kadekar, Sitaram G is an individual health care provider with primary practice located at 2050 Meadowview Parkway , Kingsport TN 37660-7332. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kadekar, Sitaram G can be contacted via phone (423) 230-5000.

Contact Information

Primary practice address
2050 Meadowview Parkway Kingsport TN 37660-7332
Fax: (423) 230-5097
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39206 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39206 Tennessee
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207RI0001X 39206 Tennessee

Profile Details

NPI number 1720023021
LBN Legal business name Kadekar, Sitaram G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720023021 NPPES
Virginia MEDICAID 010150647
Virginia Other 621112685
Virginia MEDICAID 64110778
Virginia MEDICAID 00217007
Virginia MEDICAID 3327537

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