SODDY DAISY PEDIATRICS
NPI 1124253257
Pediatrics in Soddy Daisy, TN

Q: What is Soddy Daisy Pediatrics's NPI number?

The NPI number for Soddy Daisy Pediatrics is 1124253257. It was assigned to this organization in the NPPES registry on May 19, 2009.

Q: What is Soddy Daisy Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 19, 2009

8804 DAYTON PIKE STE F, SODDY DAISY, TN 37379(423) 451-0622(423) 451-0624 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Soddy Daisy Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SODDY DAISY PEDIATRICS (NPI 1124253257) is a healthcare organization registered as a pediatrics in Soddy Daisy, Tennessee and active in the NPI registry since May 2009. The organization lists Shahla A Kaukab, Owner, as its authorized official.

NPPES Registry Identity

NPI1124253257

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSODDY DAISY PEDIATRICS

Location Address8804 DAYTON PIKE STE FSoddy Daisy, TN 37379-4306

Mailing Address8804 Dayton Pike Ste FSoddy Daisy, TN 37379-4306 · (423) 451-0622 · Fax (423) 451-0624

Phone(423) 451-0622

Fax(423) 451-0624

Organization SubpartNo

Authorized OfficialShahla A KaukabOwner · (423) 451-0622

Enumeration DateMay 19, 2009

Last NPPES UpdateMay 27, 2009

✔ NPI 1124253257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 37633

Definition

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.

8804 DAYTON PIKE STE F, Soddy Daisy, TN 37379

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Other Identifiers 2

Medicaid3887638TN

Medicaid3804863TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soddy Daisy Pediatrics's NPI number?

The NPI number for Soddy Daisy Pediatrics is 1124253257. It was assigned to this organization in the NPPES registry on May 19, 2009.

Where is Soddy Daisy Pediatrics located?

Soddy Daisy Pediatrics is located at 8804 Dayton Pike Ste F, Soddy Daisy, TN 37379. The listed phone number is (423) 451-0622.

What is Soddy Daisy Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Soddy Daisy Pediatrics was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.