Individual
TAHIRALI MOTIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520333
—
SC
01
—
SCD5575019
MEDICARE PIN
SC
01
—
SCD5579068
MEDICARE PIN
SC
Enumeration date
05/08/2015
Last updated
11/16/2023
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