Dr. Shahla Amjad Kaukab

M.D. | Pediatrics | Female

Dr. Shahla Amjad Kaukab, M.D. is a Soddy Daisy, Tennessee based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Shahla Amjad Kaukab is 9089 Dayton Pike, Soddy Daisy, Tennessee - 37379. She can be contacted on phone at 423-451-0623 and fax number 423-451-0624. Dr. Shahla Amjad Kaukab is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shahla Amjad Kaukab is 1699703264 which was assigned by NPPES on 30 Jun, 2006 and it was last updated on 17 Apr, 2014. Dr. Shahla Amjad Kaukab license number is 37633 for Pediatrics (208000000X) in Tennessee.
Dr. Shahla Amjad Kaukab is a pediatrician who 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.
Complete Profile:
Dr. Shahla Amjad Kaukab basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Shahla Amjad Kaukab
Credential :M.D.
Gender :Female
Sole Proprietor : Yes
Business Address:
Dr. Shahla Amjad Kaukab address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :9089 Dayton Pike
Soddy Daisy, TN, 37379
United States
Phone Number :423-451-0623
Fax Number :423-451-0624
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1699703264
NPI Entity Type : Individual
First Enrolment Date : 30 Jun, 2006
Last Updated On : 17 Apr, 2014
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shahla Amjad Kaukab are as mentioned. Primary taxonomy code for Dr. Shahla Amjad Kaukab, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes37633TN
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shahla Amjad Kaukab such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
3887638MEDICAIDTN
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 1059
Soddy Daisy, TN, 37384
United States
Phone Number :423-451-0623
Fax Number :423-451-0624
Business Location:
Patients can refer following map for directions to Dr. Shahla Amjad Kaukab practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.