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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1396788188 NPPES
North Carolina MEDICAID 7947786
North Carolina MEDICAID MA891193G

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