Individual
SANJEEV KAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 VOLUNTEER PKWY, BRISTOL, TN 37620-4628
(423) 844-3360
Mailing address
1230 VOLUNTEER PKWY, BRISTOL, TN 37620-4628
(423) 844-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116019075
VA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
46273
TN
Other
Enumeration date
07/11/2007
Last updated
09/17/2013
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