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

Individual provider Psychiatry Physician · NPI 1639121270

Raghava R Ghosala, MD is a Psychiatry in Philadelphia, Pennsylvania. Qualified in 1988, 38 years ago. Practices with Eastern Pennsylvania Physician Alliance, LLC, a 110-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
38
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone: (215) 831-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD073737L (PA)

Record details

NPI number1639121270
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Eastern Pennsylvania Physician Alliance, Llc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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