Soddy Daisy Family Care, NPI 1487995304
Pediatrics Physician in Soddy Daisy, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1487995304 |
| NPI Entity Type | Organization |
| Provider Name |
Soddy Daisy Family Care
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 9089 Dayton Pike, Soddy Daisy, TN, US |
| Provider Mailing Address | 9089 Dayton Pike, Soddy Daisy, TN, US, 37379 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. MD Shahla A Kaukab |
| Official Position | OWNER |
| Phone | 423-451-0623 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatrics Physician |
| Classification | |
| Group | |
| License No. | 37633 |
| License State | TN |
| Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 29446 | TN | No | |||
| 28243 | TN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1509389 | TN | MEDICAID | 05 |
| 3887638 | TN | MEDICAID | 05 |
| 1511723 | TN | MEDICAID | 05 |
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