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Individual

DR. SHAILEE A MADHOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
#8 SHERIDAN SQUARE, STE 201, KINGSPORT, TN 37660
(423) 246-6445
(423) 246-8240
Mailing address
#8 SHERIDAN SQUARE, STE 201, KINGSPORT, TN 37660
(423) 246-6445
(423) 246-8240

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39915
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192130
ANTHEM BCBS
VA
05
3335080
TN
01
4114615
BLUE CROSS/BLUE SHIELD
TN
01
P00419964
RAILROAD MEDICARE
TN
01
TN0104
JOHN DEERE HEALTH
TN
Enumeration date
05/03/2006
Last updated
07/06/2021
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