Healthcare Provider Details

I. General information

NPI: 1720271901
Provider Name (Legal Business Name): GOPAL MALHOTRA MS, MCH, FRCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16001 W 9 MILE RD FL 3 PROVIDENCE HOSPITAL
SOUTHFIELD MI
48075-4818
US

IV. Provider business mailing address

16001 W 9 MILE RD FL 3 PROVIDENCE HOSPITAL
SOUTHFIELD MI
48075-4818
US

V. Phone/Fax

Practice location:
  • Phone: 248-849-5801
  • Fax:
Mailing address:
  • Phone: 248-849-5801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number4301089907
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: