Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L-240114 | MA |
N | 111NI0900X | Internist | L-240114 | MA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 250282 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 250282 | MA |
NPI | 1942437470 |
---|---|
Provider Name | Dr. Shweta R Motiwala |
First Address | Boston, MA 02215 |
Second Address | Boston, MA 02215-5324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 02/10/2017 |