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

Raja Srinivas Boddepalli

Individual provider Internal Medicine Physician · NPI 1750909222

Raja Srinivas Boddepalli is an Internal Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (484) 622-0959
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MT221247 (PA)

Record details

NPI number1750909222
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020

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