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MEDICAL SPA MOKSHA L.L.C. NPI 1912231895


NPI Information

NPI: 1912231895
Provider Name: MEDICAL SPA MOKSHA, L.L.C.
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
500 CAHABA PARK CIR
BIRMINGHAM, AL
ZIP 35242
Phone: (205) 980-9393
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MEDICAL SPA MOKSHA, L.L.C. is a plastic surgery in Birmingham, AL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. MEDICAL SPA MOKSHA, L.L.C. NPI is 1912231895. The provider is registered as an organization entity type.

The provider's business location address is:

500 CAHABA PARK CIR
BIRMINGHAM, AL
ZIP 35242-087
Phone: (205) 980-9393
Fax: (205) 980-4494

The provider's authorized official is William B Nickell .
The authorized official title is Medical Director and has the following contact phone number (205) 980-9393.

The enumeration date for this NPI number is 9/25/2009 and was last updated on 9/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care3370ALABAMANo
2208200000XPlastic Surgery3370ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C75686MEDICARE UPINALABAMA
21306901517OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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