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ELIJAH MOOTHEDAN MD
NPI 1508704206
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 23, 2026
PO BOX 100294, GAINESVILLE, FL 32610(352) 265-8200 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elijah Moothedan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH MOOTHEDAN MD (NPI 1508704206) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1508704206
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIJAH MOOTHEDANCredential: MD
Location AddressPO BOX 100294Gainesville, FL 32610-0294
Mailing AddressPo Box 100294Gainesville, FL 32610-0294
Phone(352) 265-8200
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1508704206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
PO BOX 100294, Gainesville, FL 32610
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LEIGH STEVENSON L.M.
Advanced Practice Midwife
PO BOX 100294
GAINESVILLE, FL 32610
Alachua County (352) 278-1007
MISS ALYSSA FAYE CLARE BS
Student in an Organized Health Care Education/Training Program
PO BOX 100294
GAINESVILLE, FL 32610
Alachua County (352) 273-7943
ERIKA MICHELLE WERT MD
Obstetrics & Gynecology
PO BOX 100294
GAINESVILLE, FL 32610
Alachua County (522) 737-6603
MIRANDA SOLLY MD
Student in an Organized Health Care Education/Training Program
PO BOX 100294
GAINESVILLE, FL 32610
Alachua County (352) 273-7660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Moothedan's NPI number?

The NPI number for Elijah Moothedan is 1508704206. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Elijah Moothedan located?

Elijah Moothedan practices at PO Box 100294, Gainesville, FL 32610. The listed phone number is (352) 265-8200.

What is Elijah Moothedan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elijah Moothedan was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.