Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 3478 | OK |
NPI | 1013950740 |
---|---|
Provider Name | Rajendra K. Motwani |
First Address | Oklahoma City, OK 73139-2812 |
Second Address | Oklahoma City, OK 73139-2812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 16/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100167910B | (05) | OK |
F56206 | (02) |