Doctor Name: | DR. PRADEEP MATHUR |
NPI Number: | 1053373159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35.05.9651 |
Business Practice Address: | 955 Windham Ct Suite 2 Boardman, OH - 445125035 |
Business Phone Number: | 3307269570 |
Business Fax Number: | 3307269031 |
Mailing Address: | 955 Windham Ct, Suite 2 BOARDMAN |
State: | OH |
Postal Code: | 445125035 |
Phone Number: | 3307269570 |
Fax Number: | 3307269031 |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 35.05.9651 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
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. |