Healthcare Provider Details

I. General information

NPI: 1942207337
Provider Name (Legal Business Name): NARINDER K MALHOTRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16792 CONNEAUT LAKE RD
MEADVILLE PA
16335-3748
US

IV. Provider business mailing address

1034 GROVE ST
MEADVILLE PA
16335-2945
US

V. Phone/Fax

Practice location:
  • Phone: 814-373-2335
  • Fax:
Mailing address:
  • Phone: 814-373-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD036696L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number35355
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: