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General NPI Number Information
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NPI Number | 1861182180
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Entity Type | Organization
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Legal Business Name | MALHOTRA AND CHITTURI MEDICAL CORP
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 19661 S MOUNTAIN HOUSE PARKWAY
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City | MOUNTAIN HOUSE
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State | CA
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Zip | 95391
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Country | US
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Telephone | 209-685-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 19661 S MOUNTAIN HOUSE PARKWAY
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City | MOUNTAIN HOUSE
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State | CA
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Zip | 95391
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Country | US
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Telephone | 209-685-1141
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING OFFICER
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Name | LOUELLA REFE NADEAU
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Credential | N/A
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Telephone | 209-685-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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