Doctor Name: | DR. PRAVEEN KUMAR KAMARAJU |
NPI Number: | 1083687842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301072588 |
Business Practice Address: | 3720 Katalin Court Bay City, MI - 48706 |
Business Phone Number: | 9896862800 |
Business Fax Number: | 9896865920 |
Mailing Address: | 3720 Katalin Court, BAY CITY |
State: | MI |
Postal Code: | 48706 |
Phone Number: | 9896862800 |
Fax Number: | 9896865920 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | 4301072588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |