Provider Demographics
NPI:1477848133
Name:RAGHAVAN, ANU (MD)
Entity Type:Individual
Prefix:DR
First Name:ANU
Middle Name:
Last Name:RAGHAVAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 S. CENTRAL AVE.
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223
Mailing Address - Country:US
Mailing Address - Phone:614-274-9500
Mailing Address - Fax:614-279-0925
Practice Address - Street 1:199 S. CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223
Practice Address - Country:US
Practice Address - Phone:614-274-9500
Practice Address - Fax:614-279-0925
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0847742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry