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NPI Code Detail

MEDICARE: DAVID MOTANYA M.D

MEDICARE: DAVID MOTANYA M.D
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
1207L00000XAnesthesiology Physician23933MS
2207L00000XAnesthesiology PhysicianMD483174PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174887319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MOTANYA M.D
Provider Business Mailing Address
First Line : 415 S 28TH AVE
Second Line :
City : HATTIESBURG
State : MS
Zip : 39401-7246
Country : US
Telephone Number : 601-261-3606
Fax Number : 601-579-5240
Provider Business Practice Location Address
First Line : 415 S 28TH AVE
Second Line :
City : HATTIESBURG
State : MS
Zip : 39401-7246
Country : US
Telephone Number : 360-261-3606
Fax Number : 601-579-5383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 03/05/2026

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