Doctor Name: | DR. QUDDUSA DOONGERWALA |
NPI Number: | 1083704126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | A87465 |
Business Practice Address: | 1783 El Camino Real Burlingame, CA - 940103205 |
Business Phone Number: | 6503125322 |
Business Fax Number: | |
Mailing Address: | 101 S San Mateo Dr, Suite 204 SAN MATEO |
State: | CA |
Postal Code: | 944013819 |
Phone Number: | 6503806955 |
Fax Number: | 6506229535 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | A87465 |
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. |