| Tareck A. Kadrie, M.d., Pllc | |
|
721 Glenwood Dr Suite 467 West Chattanooga TN 37404-1106 | |
| (423) 698-3423 | |
| (423) 698-1380 |
| Full Name | Tareck A. Kadrie, M.d., Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 721 Glenwood Dr, Chattanooga, Tennessee |
| Authorized Official Name and Position | Tareck Ali Kadrie (PRESIDENT) |
| Authorized Official Contact | 4236983423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tareck A. Kadrie, M.d., Pllc 721 Glenwood Dr Suite 467 West Chattanooga TN 37404-1106 Ph: (423) 698-3423 | Tareck A. Kadrie, M.d., Pllc 721 Glenwood Dr Suite 467 West Chattanooga TN 37404-1106 Ph: (423) 698-3423 |
| NPI Number | 1952574931 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 03/17/2009 |
| Medicare PECOS PAC ID | 8729052493 |
|---|---|
| Medicare Enrollment ID | O20040819001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952574931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 37212 (Tennessee) | Primary |
| Provider Name | Tareck A Kadrie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700814191 PECOS PAC ID: 3072417906 Enrollment ID: I20031122000026 |
| Provider Name | Holly D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295763316 PECOS PAC ID: 4082617162 Enrollment ID: I20060809000433 |
| Provider Name | Heidi R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821223488 PECOS PAC ID: 5294886750 Enrollment ID: I20090624000361 |
| Provider Name | Louann Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285736082 PECOS PAC ID: 1850281510 Enrollment ID: I20101018001188 |
| Provider Name | Noelle Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932636560 PECOS PAC ID: 7911278593 Enrollment ID: I20170920004218 |
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