MEDICARE: DR. SHAHEEN MOTIWALA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	ME95629	FL

General Provider Information

NPI Number	:	1063526424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHEEN MOTIWALA MD

Provider Business Mailing Address
First Line	:	320W FLETCHER AVE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3400
Country	:	US
Telephone Number	:	813-775-2352
Fax Number	:

Provider Business Practice Location Address
First Line	:	320W FLETCHER AVE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3400
Country	:	US
Telephone Number	:	813-775-2352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	02/12/2026

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