Healthcare Provider Details

I. General information

NPI: 1447952627
Provider Name (Legal Business Name): MALISHA PAHARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 WHIRLAWAY DR STE A
DANVILLE KY
40422-9036
US

IV. Provider business mailing address

4101 CHARLOTTE AVE STE F185
NASHVILLE TN
37209-4066
US

V. Phone/Fax

Practice location:
  • Phone: 859-295-6330
  • Fax:
Mailing address:
  • Phone: 877-206-0146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number310048
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number310048
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: