Provider Demographics
NPI:1477517670
Name:KAKARIA, SANDEEP KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDEEP
Middle Name:KUMAR
Last Name:KAKARIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2005 TECHNOLOGY PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9413
Mailing Address - Country:US
Mailing Address - Phone:717-695-9355
Mailing Address - Fax:717-695-9356
Practice Address - Street 1:2005 TECHNOLOGY PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9413
Practice Address - Country:US
Practice Address - Phone:717-695-9355
Practice Address - Fax:717-695-9356
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2020-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD428155207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology