Individual
DR. BEENA ANANTHARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5740 RALSTON ST, SUITE 200, VENTURA, CA 93003-6051
(805) 289-3203
(805) 289-3201
Mailing address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A 84870
CA
2084P0800X
Psychiatry Physician
MD425469
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FM426U
MEDICARE- PTAN
CA
Enumeration date
03/08/2006
Last updated
11/03/2016
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