Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Praveen Reddy Kambam, MD

Individual provider Psychiatry Physician · NPI 1912034141

Praveen Reddy Kambam, MD is a Psychiatry Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11500 W Olympic Blvd 538
Los Angeles, CA 90064
Phone: (310) 231-8964
Fax: (310) 627-1657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychiatry Physician (primary) Taxonomy 2084F0202X · Licence A100457 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence A100457 (CA)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence A100457 (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence A100457 (CA)

Record details

NPI number1912034141
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020

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