Doctor Name: | DR. BHUVANESWARI NALLAMOTHU |
NPI Number: | 1063542140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A89852 |
Business Practice Address: | 23110 Atlantic Cir Suite F Moreno Valley, CA - 925535920 |
Business Phone Number: | 9512436455 |
Business Fax Number: | 9512430207 |
Mailing Address: | 23110 Atlantic Cir, Suite F MORENO VALLEY |
State: | CA |
Postal Code: | 925535920 |
Phone Number: | 9512436455 |
Fax Number: | 9512430207 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 09/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | A89852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |