Healthcare Provider Details

I. General information

NPI: 1740070341
Provider Name (Legal Business Name): MALVIKA KRISHNA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 08/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S. COULTER STREET, SUITE 2500
AMARILLO TX
79106-1786
US

IV. Provider business mailing address

1400 S. COULTER STREET, SUITE 2500
AMARILLO TX
79106-1786
US

V. Phone/Fax

Practice location:
  • Phone: 806-414-9654
  • Fax: 806-354-5717
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: