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General NPI Number Information
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NPI Number | 1932307691
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Entity Type | Individual
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Provider Name | DIPEN KADARIA MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2007
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 1325 EASTMORELAND AVE SUITE 370
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City | MEMPHIS
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State | TN
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Zip | 38104-3519
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Country | US
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Telephone | 901-758-7888
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Fax | 901-387-5153
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Provider Business Mailing Address
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Address Line | PO BOX 1000 DEPT # 457
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 901-758-7888
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Fax | 901-387-5153
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 49612
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | DR.0058033
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 49612
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License Number State | TN
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