Provider Demographics
NPI:1548908916
Name:MOTA, NAMEETA HEMANT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAMEETA
Middle Name:HEMANT
Last Name:MOTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2482 LEYLAND RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4833
Mailing Address - Country:US
Mailing Address - Phone:601-497-6268
Mailing Address - Fax:
Practice Address - Street 1:2482 LEYLAND RIDGE RD
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-4833
Practice Address - Country:US
Practice Address - Phone:601-497-6268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032715183500000X
TX69751183500000X
VA0202218059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist