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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3807
Fax: (215) 707-4414
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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

Other providers in Philadelphia