Individual
DR. RAJESH SHIVAJI KADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1570 WAVERLY RD, KINGSPORT, TN 37664-2523
(423) 224-1300
(423) 224-1375
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3724
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
517
TN
2084P0800X
Psychiatry Physician
0101241538
VA
2084P0800X
Psychiatry Physician
Primary
42576
TN
2084P0800X
Psychiatry Physician
517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134336563
—
VA
05
—
1504642
—
TN
05
—
3001511
—
TN
Enumeration date
05/16/2007
Last updated
08/14/2025
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