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Organization

RAPHA MEDICAL CENTER LLC

Active
Other names
Rapha Medical Provider's Group
Organization subpart
No

Provider details

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

Contact information

Practice address
179 LONDON CT, RUCKERSVILLE, VA 22968-3367
(434) 249-9752
Mailing address
179 LONDON CT, RUCKERSVILLE, VA 22968-3367
(434) 249-9752

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RN0300X
Nephrology Physician
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
11/09/2023
Last updated
03/04/2024
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