Rapha Medical Psych Services
Psychiatry & Neurology, Psychiatry in Charlottesville, VA. Organization (NPI-2).
NPI number1184518904
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1184518904
- Entity type
- Organization (NPI-2)
- Legal business name
- Rapha Medical Psych Services
- Organization subpart
- No
- Enumeration date
- Jun 5, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
600 Peter Jefferson Pkwy Ste 110Charlottesville, VA 22911-8835
Phone 434-249-9752 · Fax 803-650-3964
Mailing address
179 London CtRuckersville, VA 22968-3367
Phone 434-249-9752 · Fax 803-650-3964
Authorized official
Tilahun Goshu
Owner
4342499752
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