Provider Demographics
NPI:1669576906
Name:KAKAR, DAVINDER P (MD)
Entity type:Individual
Prefix:
First Name:DAVINDER
Middle Name:P
Last Name:KAKAR
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 1:10 W SQUARE LAKE RD
Mailing Address - Street 2:#215
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302
Mailing Address - Country:US
Mailing Address - Phone:248-745-3800
Mailing Address - Fax:248-745-3900
Practice Address - Street 1:10 W SQUARE LAKE RD
Practice Address - Street 2:#215
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302
Practice Address - Country:US
Practice Address - Phone:248-745-3800
Practice Address - Fax:248-745-3900
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDK4056142084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DK405614OtherMICHIGAN LICENSE #
E16194Medicare UPIN
0632625Medicare ID - Type Unspecified