Individual
INDUMATHI RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
509 MARIN ST, SUITE# 233, THOUSAND OAKS, CA 91360-4261
(805) 496-8003
(805) 496-8303
Mailing address
509 MARIN ST, SUITE 233, THOUSAND OAKS, CA 91360-4261
(805) 496-8003
(805) 496-8303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A054464
CA
2084P0805X
Geriatric Psychiatry Physician
Primary
A054464
CA
Other
Enumeration date
04/16/2007
Last updated
09/11/2025
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