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General NPI Number Information
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NPI Number | 1558636845
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Entity Type | Organization
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Legal Business Name | SURINDER S MALHOTRA PC
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 92-29 QUEENSBLVD 1H
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-830-9000
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Fax | 718-897-0443
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Provider Business Mailing Address
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Address Line | 92-29 QUEENSBLVD 1H
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-830-9000
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Fax | 718-897-0443
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. SURINDER SINGH MALHOTRA
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Credential | TATIANA CALVACHE
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Telephone | 718-830-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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