| Dr Shahla Amjad Kaukab, MD | |
|
9089 Dayton Pike, Soddy Daisy, TN 37379 | |
| (423) 451-0623 | |
| (423) 451-0624 |
| Full Name | Dr Shahla Amjad Kaukab |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9089 Dayton Pike, Soddy Daisy, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699703264 | NPI | - | NPPES |
| 3887638 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 37633 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shahla Amjad Kaukab, MD Po Box 1059, Soddy Daisy, TN 37384 Ph: (423) 451-0623 | Dr Shahla Amjad Kaukab, MD 9089 Dayton Pike, Soddy Daisy, TN 37379 Ph: (423) 451-0623 |
Brent S Morris, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9527 W Ridge Trail Rd, Soddy Daisy, TN 37379 Phone: 423-842-3031 Fax: 423-842-5353 | |
Laura T Truelove, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1507 Hotwater Rd, Soddy Daisy, TN 37379 Phone: 423-240-9633 |