| Ms Rachel Tanya Boodram, MD | |
|
311 E Spruce St, Garden City, KS 67846-5614 | |
| (620) 275-3730 | |
| (620) 275-3767 |
| Full Name | Ms Rachel Tanya Boodram |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 311 E Spruce St, Garden City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720600737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 04-48165 (Kansas) | Primary |
| Entity Name | Commonspirit Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Rachel Tanya Boodram, MD Po Box 803929, Kansas City, MO 64180-3929 Ph: (800) 953-0104 | Ms Rachel Tanya Boodram, MD 311 E Spruce St, Garden City, KS 67846-5614 Ph: (620) 275-3730 |
Leo Altamirano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3700 | |
Dr. Michael W Shull, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3730 | |
Dr. Lindsay Jeanne Byrnes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3700 | |
Nandhini Sehar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3710 Fax: 620-275-3767 | |
Dr. James T. Zauche, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3700 | |
Dr. Elizabeth A. Doyle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3700 |