Healthcare Provider Details

I. General information

NPI: 1942528955
Provider Name (Legal Business Name): RAJA KARANBIR SINGH MALHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2010
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD STE 2200
NEWARK DE
19713-7000
US

IV. Provider business mailing address

4701 OGLETOWN STANTON RD STE 2200
NEWARK DE
19713-7000
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-4960
  • Fax: 302-623-4965
Mailing address:
  • Phone: 302-623-4960
  • Fax: 302-623-4965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberC1-0012144
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0012144
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD454536
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD454536
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: