Individual
DR. AJAY S KADAKIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 E NORTHWOOD ST, GREENSBORO, NC 27401-1310
(336) 574-2100
(336) 574-1260
Mailing address
108 E NORTHWOOD ST, GREENSBORO, NC 27401-1310
(336) 574-2100
(336) 574-1260
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9501293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8947727
—
NC
01
—
9501293
STATE LICENSE
NC
Enumeration date
10/04/2006
Last updated
07/08/2007
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