Healthcare Provider Details

I. General information

NPI: 1831686500
Provider Name (Legal Business Name): DR. BIANCA KAKADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 LASCASSAS PIKE
MURFREESBORO TN
37130-1936
US

IV. Provider business mailing address

2050 LASCASSAS PIKE
MURFREESBORO TN
37130-1936
US

V. Phone/Fax

Practice location:
  • Phone: 615-907-6224
  • Fax:
Mailing address:
  • Phone: 615-907-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0000040341
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: