| NPI | 1932973021 |
|---|---|
| Doing Business As | RAPHA MEDICAL PROVIDER'S GROUP |
| Entity Type | Organization |
| Authorized Contact | TILAHUN MEKONNEN GOSHU CEO 434-249-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 207RN0300X Internal Medicine, Nephrology | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-03-04 |