Sadeghi, Sam

Sadeghi, Sam is an individual health care provider with primary practice located at 135 W Ravine Rd Suite 5A, Kingsport TN 37660-3847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sadeghi, Sam can be contacted via phone (423) 224-3500.

Contact Information

Primary practice address
135 W Ravine Rd Suite 5A Kingsport TN 37660-3847
Phone: (423) 224-3500
Fax: (423) 224-3506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40325 Tennessee

Profile Details

NPI number 1053380949
LBN Legal business name Sadeghi, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 28th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053380949 NPPES
Kentucky MEDICAID 7100029070
Kentucky MEDICAID 010213100

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