Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soddy Daisy Family Care

Organization Internal Medicine Physician · NPI 1487995304

Soddy Daisy Family Care is an Internal Medicine Physician in Soddy Daisy, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
Specialties on file
3

Practice location Address checks out

9089 Dayton Pike
Soddy Daisy, TN 37379-4313
Phone: (423) 451-0622
Fax: (423) 451-0624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 37633 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 29446 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 28243 (TN)

Record details

NPI number1487995304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahla Kaukab — Owner · (423) 451-0623
Other names Soddy Daisy Pediatrics
NPI enumeratedMarch 4, 2013
Last updated in NPPESMay 12, 2017
Mailing address9089 Dayton Pike, Soddy Daisy, TN 37379

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