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NPI Code Detail

MEDICARE: GAGAN SINGH MALHI DO

MEDICARE: GAGAN SINGH MALHI DO
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
1207Q00000XFamily Medicine Physician20A24128CA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1366070807
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAGAN SINGH MALHI DO
Provider Business Mailing Address
First Line : 49 POPLAR LN
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-2785
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12 CAMINO ENCINAS
Second Line :
City : ORINDA
State : CA
Zip : 94563-3304
Country : US
Telephone Number : 510-204-8166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 12/24/2025

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