Doctor Name: | KONDAL MADARAM |
NPI Number: | 1003952144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD434924 |
Business Practice Address: | 1000 S Columbia Rd Grand Forks, ND - 582014032 |
Business Phone Number: | 7017805000 |
Business Fax Number: | |
Mailing Address: | 1000 S Columbia Rd, GRAND FORKS |
State: | ND |
Postal Code: | 582014032 |
Phone Number: | 7017805000 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | MD434924 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy 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. |