Organization
RAPHA MEDICAL CENTER LLC
Active
Parent organization
RAPHA MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAPHA MEDICAL CENTER
Authorized official
DR. TILAHUN MEKONNEN GOSHU DNP/PHD (CEO)
(434) 249-9752
Entity
Organization
Contact information
Practice address
600 PETER JEFFERSON PKWY STE 100&110, CHARLOTTESVILLE, VA 22911-8835
(434) 249-9752
Mailing address
600 PETER JEFFERSON PKWY STE 100, CHARLOTTESVILLE, VA 22911-8835
(434) 249-9752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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