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NPI Code Detail

MEDICARE: RAHANGDALE PSYCHIATRY, PLLC

MEDICARE: RAHANGDALE PSYCHIATRY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1598611410
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAHANGDALE PSYCHIATRY, PLLC
Provider Business Mailing Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 850-296-7752
Fax Number : 850-204-1903
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 850-296-7752
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. ANEESH RAHANGDALE
Credential : MD
Telephone Number : 850-296-7752
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “RAHANGDALE PSYCHIATRY, PLLC ” Practice Location

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