PRAVEEN REDDY KAMBAM M.D. NPI 1912034141

NPI Information

NPI: 1912034141
Provider Name: PRAVEEN REDDY KAMBAM, M.D.
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Individual

Specialization: Forensic Psychiatry

Address:
11500 W OLYMPIC BLVD
538
LOS ANGELES, CA
ZIP 90064
Phone: (310) 231-8964
Get Directions

Praveen Reddy Kambam, M.D. is a forensic psychiatry psychiatry neurology in Los Angeles, CA. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. Praveen Reddy Kambam, M.D. NPI is 1912034141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11500 W OLYMPIC BLVD
538
LOS ANGELES, CA
ZIP 90064
Phone: (310) 231-8964
Fax: (310) 627-1657

The enumeration date for this NPI number is 2/27/2007 and was last updated on 11/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	A100457	CALIFORNIA	No
2	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	A100457	CALIFORNIA	Yes
3	2084P0800X	Psychiatry & Neurology	Psychiatry	A100457	CALIFORNIA	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	A100457	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »