Raghava R Ghosala M.D.

NPI 1639121270 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1639121270
Gender Female
Enumeration Date 05/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4641 ROOSEVELT BLVD
PHILADELPHIA PA, 19124-2343, US
Phone (215) 831-4600
Fax
Business Location
4641 ROOSEVELT BLVD
PHILADELPHIA PA, 19124-2343, US
Phone (215) 831-4600
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Pennsylvania
License Number MD073737L
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According to our database, Raghava R Ghosala M.D. NPI is 1639121270, taxonomy code is 2084P0800X and license number is MD073737L, license state is located at Pennsylvania. Raghava R Ghosala M.D. physically located at 4641 Roosevelt Blvd, Philadelphia PA, 19124-2343. NPI Number Raghava R Ghosala M.D. has the Individual type.

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1639121270 NPI number is provided on an as is basis without warranty of any kind. 1639121270 is maintained by the National Plan & Provider Enumeration System. The contents of Raghava R Ghosala M.D. are for informational purposes only.