| Indu Raghavan Md Inc | |
|
516 Pennsfield Pl Suite 105 Thousand Oaks CA 91360 | |
| (805) 496-8003 | |
| (805) 496-8303 |
| Full Name | Indu Raghavan Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 516 Pennsfield Pl, Thousand Oaks, California |
| Authorized Official Name and Position | Indu Raghavan (OWNER) |
| Authorized Official Contact | 8054968003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indu Raghavan Md Inc 516 Pennsfield Pl Suite 105 Thousand Oaks CA 91360 Ph: (805) 496-8003 | Indu Raghavan Md Inc 516 Pennsfield Pl Suite 105 Thousand Oaks CA 91360 Ph: (805) 496-8003 |
| NPI Number | 1497974091 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 07/21/2009 |
| Medicare PECOS PAC ID | 3971681818 |
|---|---|
| Medicare Enrollment ID | O20080417000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497974091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | A054464 (California) | Primary |
| Provider Name | Indumathi Raghavan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851516934 PECOS PAC ID: 8921185950 Enrollment ID: I20080401000733 |
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