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TARECK A. KADRIE M.D. PLLC NPI 1952574931


NPI Information

NPI: 1952574931
Provider Name: TARECK A. KADRIE, M.D., PLLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
721 GLENWOOD DR
SUITE 467 WEST
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 698-3423
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TARECK A. KADRIE, M.D., PLLC is a clinical neurophysiology psychiatry neurology in Chattanooga, TN. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). TARECK A. KADRIE, M.D., PLLC NPI is 1952574931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

721 GLENWOOD DR
SUITE 467 WEST
CHATTANOOGA, TN
ZIP 37404-106
Phone: (423) 698-3423
Fax: (423) 698-1380

The provider's authorized official is Tareck Ali Kadrie .
The authorized official title is President and has the following contact phone number (423) 698-3423.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 3/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0600XPsychiatry & NeurologyClinical Neurophysiology37212TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13726057MEDICARE PINTENNESSEE
2H79294MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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