Provider Demographics
NPI:1629205489
Name:SHEELA M. KADEKAR, M.D. P.L.L.C.
Entity Type:Organization
Organization Name:SHEELA M. KADEKAR, M.D. P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHEELA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:KADEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-402-2513
Mailing Address - Street 1:5675 STONE RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1667
Mailing Address - Country:US
Mailing Address - Phone:703-402-2513
Mailing Address - Fax:703-830-0001
Practice Address - Street 1:5675 STONE RD
Practice Address - Street 2:SUITE 320
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1667
Practice Address - Country:US
Practice Address - Phone:703-402-2513
Practice Address - Fax:703-830-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012400662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty