Dr. KAVITA S BOMMASAMUDRAM MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1922589449- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 8 CHURCH ST, WILKES BARRE, PA, 187023542
- Phone
- (570) 808-3700
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Psychiatry & Neurology, Psychiatry
Primary License: PA #MD471297
All Addresses
MAILING
655 E. LIVINGSTON ST.
ELIZABETH, NJ, 07206