A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1700753746 |
| LBN Legal business name | OM BEHAVIORAL HEALTH, INC |
| Authorized official | YOGANAND GUNDAMRAJ - (PRESIDENT & CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/23/2025 |
| Last updated | 12/01/2025 - About 6 months ago |
| Identifiers | n/a |
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