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Individual

KAUKAB NASEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
632 MORRISON SPRINGS RD, SUITE 300, CHATTANOOGA, TN 37415-3416
(423) 877-4524
(423) 875-5860
Mailing address
6918 SHALLOWFORD RD, SUITE 206, CHATTANOOGA, TN 37421-6784
(423) 855-2552
(423) 855-9041

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028243
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000726602A
GA
05
1511723
TN
Enumeration date
10/07/2005
Last updated
12/10/2012
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