MEDICARE: SUMMIT MEDICAL CAROLINAS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1518697127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT MEDICAL CAROLINAS PLLC

Provider Business Mailing Address
First Line	:	1985 TATE BLVD SE 5TH FLOOR
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-1433
Country	:	US
Telephone Number	:	980-443-6788
Fax Number	:	980-580-4749

Provider Business Practice Location Address
First Line	:	1985 TATE BLVD SE 5TH FLOOR
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-1433
Country	:	US
Telephone Number	:	980-443-6788
Fax Number	:	980-580-4749

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. RAJENDRA KADARI
Credential	:	MD
Telephone Number	:	720-644-9355

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	02/26/2026

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Directions to “SUMMIT MEDICAL CAROLINAS PLLC ” Practice Location

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