| NPI | 1316721640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILASH KUMAR REDDY Child/Adult Psychiatry 888-855-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0805X | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2024-04-29 |