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Organization

RAPHA MEDICAL CENTER LLC

Active
Other names
Rapha Medical Psych Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TILAHUN MEKONNEN GOSHU DNP/PHD (CEO)
(434) 249-9752
Entity
Organization

Contact information

Practice address
600 PETER JEFFERSON PKWY STE 110, CHARLOTTESVILLE, VA 22911-8835
(434) 249-9752
(803) 650-3964
Mailing address
600 PETER JEFFERSON PKWY STE 110, CHARLOTTESVILLE, VA 22911-8835
(434) 249-9752
(803) 650-3964

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
261QU0200X
Urgent Care Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
05/21/2025
Last updated
05/23/2025
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