Individual
DR. MOSES TABE AMBILICHU
Active
Individual
DR. MOSES TABE AMBILICHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
04-39077
KS
2084P0800X
Psychiatry Physician
Primary
2011019835
MO
2084P0800X
Psychiatry Physician
94029
GA
2084P0800X
Psychiatry Physician
IMLC.MD.61663049
WA
2084P0800X
Psychiatry Physician
U0278
TX
Other
Enumeration date
06/20/2008
Last updated
04/24/2026
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