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NPI Code Detail

MEDICARE: DEEPAK MALHOTRA M.D.

MEDICARE: DEEPAK MALHOTRA 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
1207RC0000XCardiovascular Disease PhysicianQ3548TX
2208600000XSurgery PhysicianA102093CA
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianQ3548TX
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician16782NV

General Provider Information

NPI Number : 1073799987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEEPAK MALHOTRA M.D.
Provider Business Mailing Address
First Line : 3150 N TENAYA WAY STE 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0459
Country : US
Telephone Number : 702-962-5920
Fax Number :
Provider Business Practice Location Address
First Line : 3150 N TENAYA WAY STE 260
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0459
Country : US
Telephone Number : 702-962-5920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 10/21/2019

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