Provider Demographics
NPI:1891906145
Name:NATWA, MONA PREETI (MD)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:PREETI
Last Name:NATWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102222
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2222
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:
Practice Address - Street 1:3402 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6214
Practice Address - Country:US
Practice Address - Phone:813-875-3950
Practice Address - Fax:813-872-2741
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4313842085N0904X
OH350924792085N0904X
FLME171310207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2886622Medicaid
FL126084500Medicaid
PA101913696-0001Medicaid
PA2849363000OtherIBC / KHPE
PA9475015OtherPHCS
PA111619D2YMedicare PIN
PA23-1955165OtherINTERGROUP SERVICES
PA32725MD431384OtherHEALTH PARTNERS
PAP00402951OtherRAILROAD MEDICARE
PA23-1955165OtherAETNA
PAPA7584OtherHEALTH NET
PA30043065OtherKEYSTONE MERCY