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

Raven Boone

Individual provider Infectious Disease Physician · NPI 1134706179

Raven Boone is an Infectious Disease in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3807
Fax: (215) 707-4414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence OS025662 (PA)

Record details

NPI number1134706179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address3500 N Broad St Rm 1a, Philadelphia, PA 19140-4106

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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