Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME95629 | FL |
NPI | 1063526424 |
---|---|
Provider Name | Dr. Shaheen Motiwala |
First Address | Tampa, FL 33612-3400 |
Second Address | Tampa, FL 33612-3400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 17/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U8218Y | (02) | FL |