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Moses Tabe Ambilichu, M.D
NPI 1073774238 · on the registry since 2008
Practice
- Address
- 3700 I 70 Dr Se Ste 110
Columbia, MO 65201 - Phone
- (888) 410-5230
- Organisation at this address
- Snyder Brace, Inc.
Success Health System, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 11695 S Blackbob Rd, Olathe, KS
- 3400 Chapel Hill Rd, Douglasville, GA
- 4429 S River Blvd Ste D, Independence, MO
- 12401 Olive Blvd Ste 206, Creve Coeur, MO
- 3400 Chapel Hill Rd, Douglasville, GA
- 2010 S Buckner Blvd, Dallas, TX
- 2805 E 19th St, Vancouver, WA
- 3600 Interstate 70 Dr Se Ste C, Columbia, MO
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- Psychiatry
Psychiatry
Psychiatry
Psychiatry - Licence states on file
- GA, TX, KS, MO, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri