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Individual

DR. SUNIL MOTTA

Active
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Individual

DR. SUNIL MOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
205347-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040557202
UNIVERA
—
05
—
00931237
—
NY
05
—
01753704
—
NY
01
—
050056428
PALMETTO
NY
01
—
11316374
CAQH
—
01
—
40426014281
FIDELIS
—
01
—
958081
MUP
NY
Enumeration date
10/21/2005
Last updated
10/20/2010
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