Praveen Reddy Kambam in Los Angeles - Child & Adolescent Psychiatry

Praveen Reddy Kambam - NPI 1912034141

Praveen Reddy Kambam is a Child & Adolescent Psychiatry in Los Angeles, California. Praveen Reddy Kambam practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Praveen Reddy Kambam is 1912034141. The last update date is 2020-11-23.

Praveen Reddy Kambam's current location address is 644 N Fuller Ave Pmb 7190, Los Angeles, California. You can contact this provider via phone number 3102318964 and fax number 3106271657. The mailing address for Praveen Reddy Kambam is 644 N Fuller Ave Pmb 7190, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Praveen Reddy Kambam
Address 644 N Fuller Ave Pmb 7190, Los Angeles, California
Phone Number 3102318964
Fax Number 3106271657
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912034141
Provider Enumeration Date 2007-02-27
Last Updated Date 2020-11-23

Provider Mailing Address Detail

Address 644 N Fuller Ave Pmb 7190
City Los Angeles
State California (CA)
Post Code 900361939
Phone Number 3102318964
Fax Number 3106271657

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No A100457
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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FAQs about Praveen Reddy Kambam

What is the unique 10-digit identifier code issued to Praveen Reddy Kambam by the Centers for Medicare & Medicaid Services?

The Praveen Reddy Kambam has been assigned the NPI (National Provider Identifier) 1912034141 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Praveen Reddy Kambam's facilities are geographically located?

The facilities of Praveen Reddy Kambam are physically situated at the following location: 644 N Fuller Ave Pmb 7190, Los Angeles, CA, 900361939.

What is the area of specialization for Praveen Reddy Kambam, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Praveen Reddy Kambam is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912034141 to Praveen Reddy Kambam?

The Praveen Reddy Kambam received its 1912034141 assignment from the Centers for Medicare & Medicaid Services on 2007-02-27.

When was the information related to Praveen Reddy Kambam most recently updated or refreshed?

The details pertaining to the Praveen Reddy Kambam, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-23.

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