Kala Annambhotla is a Clinical in Tucson, Arizona. Kala Annambhotla practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kala Annambhotla is 1790840510. The last update date is 2014-07-15.
Kala Annambhotla's current location address is 3938 E Grant Rd # 212, Tucson, Arizona. You can contact this provider via phone number 5203345960 and fax number 5203233739. The mailing address for Kala Annambhotla is 3938 E Grant Rd # 212, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kala Annambhotla |
|---|---|
| Address | 3938 E Grant Rd # 212, Tucson, Arizona |
| Phone Number | 5203345960 |
| Fax Number | 5203233739 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790840510 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2014-07-15 |
Provider Mailing Address Detail
| Address | 3938 E Grant Rd # 212 |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857122559 |
| Phone Number | 5203345960 |
| Fax Number | 5203233739 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3452 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Kala Annambhotla by the Centers for Medicare & Medicaid Services?
The Kala Annambhotla has been assigned the NPI (National Provider Identifier) 1790840510 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kala Annambhotla is located?
The Kala Annambhotla is situated at the following address: 3938 E Grant Rd # 212, Tucson, AZ, 857122559.
What is the area of specialization for Kala Annambhotla, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kala Annambhotla is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Kala Annambhotla receive the assignment of its 1790840510 from the Centers for Medicare & Medicaid Services?
The Kala Annambhotla was issued its 1790840510 by the Centers for Medicare & Medicaid Services on 2006-12-22.
When was the information regarding Kala Annambhotla most recently updated?
The details pertaining to the Kala Annambhotla, including its address, specialty, and other relevant information, were last refreshed on 2014-07-15.
NPI Number: 1972506228
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