Provider Demographics
NPI:1649052754
Name:MOTWANI, RAHUL SANJEEV (MD)
Entity type:Individual
Prefix:
First Name:RAHUL SANJEEV
Middle Name:
Last Name:MOTWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3454 DAYTON CMN
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-5416
Mailing Address - Country:US
Mailing Address - Phone:647-248-3501
Mailing Address - Fax:
Practice Address - Street 1:3454 DAYTON CMN
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-5416
Practice Address - Country:US
Practice Address - Phone:647-248-3501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000000000207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology