Moodey, Rachel Komala
Moodey, Rachel Komala is an individual health care provider with primary practice located at 4129 N Armenia Ave , Tampa FL 33607-6436. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Moodey, Rachel Komala can be contacted via phone (813) 879-3699.Contact Information
Primary practice address
4129 N Armenia Ave
Tampa FL 33607-6436
Phone: (813) 879-3699
Fax: (813) 873-8469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME106024 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME106024 | Florida |
Profile Details
| NPI number | 1124231774 |
|---|---|
| LBN Legal business name | Moodey, Rachel Komala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jan 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124231774 | NPPES |
| Florida | MEDICAID | 003490300 | |
| Florida | Other | 1486A |
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