Provider Demographics
NPI:1790887230
Name:MOTIWALA, MOHAMMED MUNIR (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:MUNIR
Last Name:MOTIWALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1994 HAMBURG CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-4002
Mailing Address - Country:US
Mailing Address - Phone:901-745-7219
Mailing Address - Fax:901-745-7262
Practice Address - Street 1:11293 MEMPHIS ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-7978
Practice Address - Country:US
Practice Address - Phone:901-745-7219
Practice Address - Fax:901-745-7262
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD28679207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine