Kambam, Praveen Reddy
Kambam, Praveen Reddy is an individual health care provider with primary practice located at 11500 W Olympic Blvd 538, Los Angeles CA 90064. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Kambam, Praveen Reddy can be contacted via phone (310) 231-8964.Contact Information
Primary practice address
11500 W Olympic Blvd 538
Los Angeles CA 90064
Phone: (310) 231-8964
Fax: (310) 627-1657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A100457 | California |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | A100457 | California |
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | A100457 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A100457 | California |
Profile Details
| NPI number | 1912034141 |
|---|---|
| LBN Legal business name | Kambam, Praveen Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Nov 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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