Organization
METRO EAST HEALTHCARE LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARESH K. MOTWANI MD (OWNER)
(618) 288-7605
Entity
Organization
Contact information
Practice address
2133 VADALABENE DR STE 5B, MARYVILLE, IL 62062-5839
(618) 288-7605
(618) 288-7644
Mailing address
PO BOX 866, EDWARDSVILLE, IL 62025-0866
(618) 288-7605
(618) 288-7644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-117061
IL
Other
Enumeration date
01/19/2007
Last updated
07/21/2022
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