Basic Information
| Provider Information | |||||||||
| NPI: | 1942437470 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOTIWALA | ||||||||
| FirstName: | SHWETA | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | BETH ISRAEL DEACONESS MEDICAL CENTER | ||||||||
| Address2: | 185 PILGRIM RD, W/ DEAC 319 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176678800 | ||||||||
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| Practice Location | |||||||||
| Address1: | BETH ISRAEL DEACONESS MEDICAL CENTER | ||||||||
| Address2: | 185 PILGRIM RD, W/ DEAC 319 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022155324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176678800 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2009 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | L-240114 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 250282 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RA0001X | 250282 | MA | Y |
No ID Information.