Individual provider · Type 1 NPI

Elijah Moothedan, MD

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1508704206 Active

Practice location

PO Box 100294
Gainesville, FL 32610-0294

Call (352) 265-8200 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1508704206

Elijah Moothedan, MD's National Provider Identifier is 1508704206, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Mar 23, 2026.