Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Spa Moksha, LLC

Organization Plastic Surgery Physician · NPI 1912231895

Medical Spa Moksha, LLC is a Plastic Surgery Physician in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2009.

Licensed in
AL
In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Cahaba Park Cir
Birmingham, AL 35242-5087
Phone: (205) 980-9393
Fax: (205) 980-4494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 3370 (AL)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 3370 (AL)

Record details

NPI number1912231895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Nickell — Medical Director · (205) 980-9393
NPI enumeratedSeptember 25, 2009
Last updated in NPPESSeptember 25, 2009
Mailing address500 Cahaba Park Cir, Birmingham, AL 35242-5087

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