Indu Raghavan MD INC
Psychiatry & Neurology, Psychosomatic Medicine in Thousand Oaks, CA. Organization (NPI-2).
NPI number1497974091
StatusActive
Last updated in NPPESJul 21, 2009
Details
- NPI
- 1497974091
- Entity type
- Organization (NPI-2)
- Legal business name
- Indu Raghavan MD INC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology, Psychosomatic Medicine | A054464 | CA | Yes |
Practice location
516 Pennsfield PlSuite 105
Thousand Oaks, CA 91360
Phone 805-496-8003 · Fax 805-496-8303
Mailing address
516 Pennsfield PlSuite 105
Thousand Oaks, CA 91360
Phone 805-496-8003 · Fax 805-496-8303
Authorized official
Indu Raghavan
Owner
8054968003
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