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 provides Plastic Surgery Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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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