| Doctor Name: | MANJULA BANGALORE KALLUR |
| NPI Number: | 1326220682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., |
| License Number: | 057126 |
| Business Practice Address: | 3807 Cliairmont Road Ne Chamblee, GA - 30341 |
| Business Phone Number: | 7704575867 |
| Business Fax Number: | |
| Mailing Address: | 445 Winn Way, DECATUR |
| State: | GA |
| Postal Code: | 300301707 |
| Phone Number: | 4042943836 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2007 |
| NPI Last Update Date: | 12/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0805X |
| License Number: | 057126 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Geriatric Psychiatry |
| Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |