Individual
RAGHU KONANUR VENKATARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19950 RINALDI ST STE 300, PORTER RANCH, CA 91326
(818) 271-2400
(818) 271-2401
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A147233
CA
207RN0300X
Nephrology Physician
Primary
A147233
CA
Other
Enumeration date
08/01/2011
Last updated
09/26/2019
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