Provider Demographics
NPI:1922552231
Name:ABHAY G KEMKAR MD
Entity Type:Organization
Organization Name:ABHAY G KEMKAR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-837-9048
Mailing Address - Street 1:441 SEWELL DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-1223
Mailing Address - Country:US
Mailing Address - Phone:931-837-9048
Mailing Address - Fax:931-837-9571
Practice Address - Street 1:441 SEWELL DR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1223
Practice Address - Country:US
Practice Address - Phone:931-837-9048
Practice Address - Fax:931-837-9571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty