Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 01450 | MD |
NPI | 1033315031 |
---|---|
Provider Name | Dr. Johny J Motran |
First Address | Montgomery Village, MD 20886-6284 |
Second Address | Gaithersburg, MD 20877-1308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 09/08/2011 |