Kamdar, Mukesh Nautam
Kamdar, Mukesh Nautam is an sole proprietor health care provider with primary practice located at 4201 Lake Boone Trl Suite 201, Raleigh NC 27607-7512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kamdar, Mukesh Nautam can be contacted via phone (919) 785-0384.Contact Information
Primary practice address
4201 Lake Boone Trl Suite 201
Raleigh NC 27607-7512
Phone: (919) 785-0384
Fax: (919) 785-0038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 38105 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 38105 | North Carolina |
Profile Details
| NPI number | 1396788188 |
|---|---|
| LBN Legal business name | Kamdar, Mukesh Nautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 5th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396788188 | NPPES |
| North Carolina | MEDICAID | 7947786 | |
| North Carolina | MEDICAID | MA891193G |
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