Individual
MS. RACHEL TANYA BOODRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3730
(620) 275-3767
Mailing address
PO BOX 803929, KANSAS CITY, MO 64180-3929
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-48165
KS
Other
Enumeration date
05/13/2020
Last updated
09/21/2023
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