Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Raaj Ghosal, DO

Individual provider Family Medicine Physician · NPI 1366066698

Dr. Raaj Ghosal, DO is an Internal Medicine in Tupelo, Mississippi. Qualified in 2020, 6 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Texas.

Years since qualifying
6
Licensed in
MS, TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4381 S Eason Blvd Ste 101
Tupelo, MS 38801-6586
Phone: (662) 377-6609
Fax: (662) 377-6614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13031 Wortham Center Dr, Houston, TX 77065-5662 — (832) 280-2500

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence W0585 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 29327 (MS)

Record details

NPI number1366066698
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing addressPo Box 1635, Montgomery, TX 77356-1635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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