Healthcare Provider Details

I. General information

NPI: 1467973297
Provider Name (Legal Business Name): GURJOT KAUR MALHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2017
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23320 HIGHWAY 99
EDMONDS WA
98026-8744
US

IV. Provider business mailing address

23320 HIGHWAY 99
EDMONDS WA
98026-8744
US

V. Phone/Fax

Practice location:
  • Phone: 425-640-5500
  • Fax:
Mailing address:
  • Phone: 425-640-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMDBP.BC.61197097
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD.MD.61184095
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: