Soddy Daisy Pediatrics
NPI #1124253257 in Soddy Daisy, Tennessee
Provider Information
- NPI Number
- 1124253257
- Entity Type
- Organization
- Organization Name
- Soddy Daisy Pediatrics
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 19, 2009
- Last Updated
- May 27, 2009
Practice Location
- Address
- 8804 DAYTON PIKE STE F
- City
- Soddy Daisy
- State
- Tennessee
- ZIP Code
- 37379-4306
- Phone
- (423) 451-0622
Authorized Official
- Name
- DR. SHAHLA A KAUKAB, M.D.
- Title
- OWNER
- Phone
- (423) 451-0622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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