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Organization

INDU RAGHAVAN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INDU RAGHAVAN MD (OWNER)
(805) 496-8003
Entity
Organization

Contact information

Practice address
516 PENNSFIELD PL, SUITE 105, THOUSAND OAKS, CA 91360
(805) 496-8003
(805) 496-8303
Mailing address
516 PENNSFIELD PL, SUITE 105, THOUSAND OAKS, CA 91360
(805) 496-8003
(805) 496-8303

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
A054464
CA

Other

Enumeration date
04/24/2007
Last updated
07/21/2009
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