Doctor Name: | SHEELA SURAPANENI |
NPI Number: | 1154445450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A50523 |
Business Practice Address: | 23701 E East Fork Rd Azusa, CA - 917021477 |
Business Phone Number: | 6269101202 |
Business Fax Number: | 6269101380 |
Mailing Address: | 5021 E Crescent Dr, ANAHEIM |
State: | CA |
Postal Code: | 928073631 |
Phone Number: | 7143067409 |
Fax Number: | 7142793956 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0802X |
License Number: | A50523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Psychiatry |
Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |