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

Soddy Daisy Pediatrics

Organization Pediatrics Physician · NPI 1124253257

Soddy Daisy Pediatrics is a Pediatrics Physician in Soddy Daisy, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009

Practice location Address checks out

8804 Dayton Pike Ste F
Soddy Daisy, TN 37379-4306
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)

Record details

NPI number1124253257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahla Kaukab — Owner · (423) 451-0622
NPI enumeratedMay 19, 2009
Last updated in NPPESMay 27, 2009
Mailing address8804 Dayton Pike Ste F, Soddy Daisy, TN 37379-4306

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