MEDICARE: DR. ASHWIN MALHOTRA MD

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
1	2084N0400X	Neurology Physician	63138	NY

General Provider Information

NPI Number	:	1679936454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHWIN MALHOTRA MD

Provider Business Mailing Address
First Line	:	20 CAROL DR
Second Line	:
City	:	ENGLEWOOD CLIFFS
State	:	NJ
Zip	:	07632-2326
Country	:	US
Telephone Number	:	516-749-4678
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 COURT ST STE 508A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4848
Country	:	US
Telephone Number	:	347-602-9530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	03/18/2024

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