Healthcare Provider Details

I. General information

NPI: 1598932170
Provider Name (Legal Business Name): JYOTI MALHOTRA M.D, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JYOTI GULIA

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CEDAR ST # 205
NEW HAVEN CT
06510-3206
US

IV. Provider business mailing address

333 CEDAR ST # 205
NEW HAVEN CT
06510-3206
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-4095
  • Fax: 203-785-4116
Mailing address:
  • Phone: 203-785-4095
  • Fax: 203-785-4116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA09700100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number1.084357
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC176111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: