Organization
SUDHA RANI KAILAS LLC
Active
Other names
Holistic Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA KAILAS MD, PHD (OWNER)
(505) 428-9504
Entity
Organization
Contact information
Practice address
413 GRANT AVE STE C, SANTA FE, NM 87501-1687
(505) 428-9504
Mailing address
743 W MANHATTAN AVE APT B, SANTA FE, NM 87501-3792
(505) 428-9504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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