Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. RACHEL TANYA BOODRAM, MD
DeactivatedPediatrics · GARDEN CITY, KS
This NPI has been deactivated.
The record was deactivated on January 17, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1720600737
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2020 (1.6821917808219 yrs)
- Last Updated
- Sep 21, 2023
- Deactivated
- Jan 17, 2022
- License
-
04-48165 (KS)
Practice Information
- Address
-
311 E SPRUCE STGARDEN CITY, KS, 678465614Browse KS providers · Browse ZIP 67846
- Phone
- 6202753730
- Fax
- 6202753767
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in GARDEN CITY, KS
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES T. ZAUCHE | M.D. | 1659323947 |
| DR. MICHAEL W SHULL | D.O. | 1427000900 |
| DR. STEPHEN C MEYERS | M.D. | 1801848247 |
| LEO ALTAMIRANO | M.D. | 1184677403 |
| DR. ELIZABETH A. DOYLE | M.D. | 1750509378 |
| DR. LINDSAY JEANNE BYRNES | MD | 1609060953 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.