Provider Demographics
NPI:1740640051
Name:AACHI, VENKAT RAGHAV (MD)
Entity type:Individual
Prefix:
First Name:VENKAT RAGHAV
Middle Name:
Last Name:AACHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W JANSS RD STE 125
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1856
Mailing Address - Country:US
Mailing Address - Phone:805-242-4884
Mailing Address - Fax:805-242-4885
Practice Address - Street 1:227 W JANSS RD STE 125
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1856
Practice Address - Country:US
Practice Address - Phone:805-242-4884
Practice Address - Fax:805-242-4885
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1552732084N0400X, 2084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology