Healthcare Provider Details

I. General information

NPI: 1366963472
Provider Name (Legal Business Name): NATASHA MALKANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N ROBERTSON BLVD STE 606
BEVERLY HILLS CA
90211-1793
US

IV. Provider business mailing address

250 N ROBERTSON BLVD STE 606
BEVERLY HILLS CA
90211-1793
US

V. Phone/Fax

Practice location:
  • Phone: 310-248-6840
  • Fax:
Mailing address:
  • Phone: 310-248-6840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA187274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: