1. Home
  2. Directory
  3. Tennessee
  4. Soddy Daisy
  5. Internal Medicine
  6. NPI Profile

SODDY DAISY MEDICAL CARE
NPI 1629516307
Internal Medicine in Soddy Daisy, TN

Active since February 02, 2017
9089 DAYTON PIKE, SODDY DAISY, TN 37379(423) 451-0622(423) 451-0624 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soddy Daisy Medical Care NPPES

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

SODDY DAISY MEDICAL CARE (NPI 1629516307) is a healthcare organization registered as an internal medicine in Soddy Daisy, Tennessee and active in the NPI registry since February 2017. The organization lists Shahla A Kaukab, Owner, as its authorized official.

NPPES Registry Identity

NPI1629516307
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSODDY DAISY MEDICAL CARE
Location Address9089 DAYTON PIKESoddy Daisy, TN 37379-4313
Mailing AddressPo Box 1059Soddy Daisy, TN 37384-1059 · (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 DateFebruary 2, 2017
✔ NPI 1629516307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · TN29446
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9089 DAYTON PIKE, Soddy Daisy, TN 37379
Open in Google Maps ↗

Other Identifiers 2

Medicaid1942298559TN
Medicare UPING67690TN

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SODDY DAISY FAMILY CARE
Pediatrics
9089 DAYTON PIKE
SODDY DAISY, TN 37379
Hamilton County (423) 451-0622
DR. SHAHLA AMJAD KAUKAB M.D.
Pediatrics
9089 DAYTON PIKE
SODDY DAISY, TN 37379
Hamilton County (423) 451-0623
MARK D HAYS MD PLLC
Pediatrics (Pediatric Cardiology)
9089 DAYTON PIKE
SODDY DAISY, TN 37379
Hamilton County (423) 451-0622

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 Medical Care's NPI number?

The NPI number for Soddy Daisy Medical Care is 1629516307. It was assigned to this organization in the NPPES registry on February 2, 2017.

Where is Soddy Daisy Medical Care located?

Soddy Daisy Medical Care is located at 9089 Dayton Pike, Soddy Daisy, TN 37379. The listed phone number is (423) 451-0622.

What is Soddy Daisy Medical Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Soddy Daisy Medical Care was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.