Individual
DR. SITARAM G KADEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 MEADOWVIEW PARKWAY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5097
Mailing address
15241 HEATHER MILL LN, HAYMARKET, VA 20169-6220
(571) 261-9987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39206
TN
207RC0000X
Cardiovascular Disease Physician
Primary
39206
TN
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
39206
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00217007
—
TN
05
—
010150647
—
VA
05
—
3327537
—
TN
01
—
621112685
UNITED HEALTHCARE
TN
05
—
64110778
—
KY
Enumeration date
06/19/2006
Last updated
10/23/2012
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