Provider Demographics
NPI:1801038559
Name:MOTWANI, BINA (MD)
Entity Type:Individual
Prefix:DR
First Name:BINA
Middle Name:
Last Name:MOTWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4/B STERLING APARTMENT
Mailing Address - Street 2:38 G DESHMUKH MARG
Mailing Address - City:MUMBAI
Mailing Address - State:MAHARASHTRA
Mailing Address - Zip Code:400 026
Mailing Address - Country:IN
Mailing Address - Phone:01191992-055-8873
Mailing Address - Fax:
Practice Address - Street 1:2827 BOLCH ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3931
Practice Address - Country:US
Practice Address - Phone:318-636-5724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7352207RX0202X
ND8372207RX0202X
LAMD.13339R207RX0202X
NY183162207RX0202X
WI31154207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E62492Medicare UPIN