Provider Demographics
NPI:1558675389
Name:KAKADE, SUMEDH DILIP (MD)
Entity Type:Individual
Prefix:
First Name:SUMEDH
Middle Name:DILIP
Last Name:KAKADE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 W BALTIMORE PIKE STE 2507
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5166
Mailing Address - Country:US
Mailing Address - Phone:610-627-4427
Mailing Address - Fax:610-891-3417
Practice Address - Street 1:1088 W BALTIMORE PIKE STE 2507
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5166
Practice Address - Country:US
Practice Address - Phone:610-627-4427
Practice Address - Fax:610-891-3417
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457427208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery