Doctor Name: | NAVEENA SESIKERAN BOINDALA |
NPI Number: | 1013173780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 26489 |
Business Practice Address: | 2601 Spencer Rd Spencer, OK - 730843649 |
Business Phone Number: | 4054272441 |
Business Fax Number: | 4054274741 |
Mailing Address: | 5300 N Independence Ave, Suite 280 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731125556 |
Phone Number: | 4054272441 |
Fax Number: | 4054274741 |
NPI Enumeration Date: | 08/01/2008 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 26489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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. |