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INDU RAGHAVAN MD INC NPI 1497974091


NPI Information

NPI: 1497974091
Provider Name: INDU RAGHAVAN MD INC
Classification: Psychiatry & Neurology - 2084P0015X
Entity Type: Organization

Specialization: Psychosomatic Medicine

Address:
516 PENNSFIELD PL
SUITE 105
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 496-8003
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INDU RAGHAVAN MD INC is a psychosomatic medicine psychiatry neurology in Thousand Oaks, CA. The provider is psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. INDU RAGHAVAN MD INC NPI is 1497974091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

516 PENNSFIELD PL
SUITE 105
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 496-8003
Fax: (805) 496-8303

The provider's authorized official is Indu Raghavan .
The authorized official title is Owner and has the following contact phone number (805) 496-8003.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0015XPsychiatry & NeurologyPsychosomatic MedicineA054464CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H12412MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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