Doctor Name: | DR. MOHSIN RIAZ KHALIQUE |
NPI Number: | 1124083589 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 22590 |
Business Practice Address: | 5505 Satinleaf Way San Ramon, CA - 945825059 |
Business Phone Number: | 9253651216 |
Business Fax Number: | |
Mailing Address: | 5505 Satinleaf Way, SAN RAMON |
State: | CA |
Postal Code: | 945825059 |
Phone Number: | 9253651216 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 22590 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
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. |