Doctor Name: | DR. PRIYA RAJENDRA MOTZ |
NPI Number: | 1447518220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 02004301A |
Business Practice Address: | 4881 Sugar Maple Dr Building 830 Wright Patterson Afb, OH - 454335529 |
Business Phone Number: | 9379382663 |
Business Fax Number: | |
Mailing Address: | 6731 Serrell Ln, DAYTON |
State: | OH |
Postal Code: | 454248702 |
Phone Number: | 6143125022 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2012 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02004301A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |