Provider Demographics
NPI:1811963564
Name:NADKARNI, SEEMA (MD)
Entity type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:
Last Name:NADKARNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SEEMA
Other - Middle Name:
Other - Last Name:NAVALKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9300 DEWITT LOOP
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-4400
Mailing Address - Country:US
Mailing Address - Phone:571-231-1015
Mailing Address - Fax:
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-2206
Practice Address - Country:US
Practice Address - Phone:571-231-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246758208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4170631Medicare ID - Type Unspecified
OH000000543559OtherANTHEM
OH7430715OtherAETNA
OH7378441Medicare PIN
I43292Medicare UPIN
OH2601778Medicaid