NPI 1366066698
Raaj Ghosal, DO
Practice location
- Address
- 4381 S Eason Blvd STE 101, Tupelo, MS 38801-6586
- Phone
- (662) 377-6609
- Fax
- (662) 377-6614
- Mailing address
- PO Box 1635, Montgomery, TX 77356-1635
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1366066698
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jun 2020
- Record last updated
- 19 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.