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

Soddy Daisy Medical Care

Organization Internal Medicine Physician · NPI 1629516307

Soddy Daisy Medical Care is an Internal Medicine Physician in Soddy Daisy, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017

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

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence TN29446 (TN)

Record details

NPI number1629516307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahla Kaukab — Owner · (423) 451-0622
NPI enumeratedFebruary 2, 2017
Last updated in NPPESFebruary 2, 2017
Mailing addressPo Box 1059, Soddy Daisy, TN 37384-1059

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