Doctor Name: | DR. AJAY MALHOTRA |
NPI Number: | 1205112380 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 263462 |
Business Practice Address: | 27 Overlook Rd Ardsley, NY - 105021408 |
Business Phone Number: | 9146930375 |
Business Fax Number: | |
Mailing Address: | 4614 Via Colina, 623 LOS ANGELES |
State: | CA |
Postal Code: | 900424592 |
Phone Number: | 9175752519 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2011 |
NPI Last Update Date: | 11/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 263462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |