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

Dr. Raja Rama Manohara Sai Godasi, MBBS

Individual provider Neurology Physician · NPI 1134614001

Dr. Raja Rama Manohara Sai Godasi, MBBS is a Neurology in Jacksonville, Florida. Qualified in 2016, 10 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Idaho.

Years since qualifying
10
Licensed in
FL, ID
In the registry since
2018
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

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

Additional practice locations (2)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 381-7335
  • 750 E Adams St, Syracuse, NY 13210-2306 — (315) 464-4243

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME153563 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence M-16858 (ID)

Record details

NPI number1134614001
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJune 24, 2018
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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