Individual
RAJA NANDA GOPAL MOGALLAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9015
(215) 456-9015
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9015
(215) 456-9015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28928
WV
Other
Enumeration date
07/12/2014
Last updated
04/21/2022
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