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NPI Code Detail

MEDICARE: SUNIL MALKANI MD PA

MEDICARE: SUNIL MALKANI MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME81904FL

General Provider Information

NPI Number : 1013216076
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNIL MALKANI MD PA
Provider Business Mailing Address
First Line : PO BOX 111600
Second Line :
City : NAPLES
State : FL
Zip : 34108-0127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9201 CYPRESS LAKE DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4941
Country : US
Telephone Number : 239-324-4888
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SUNIL MALKANI
Credential : M.D.
Telephone Number : 561-271-5040
Provider Enumeration Date : 03/16/2011
Last Update Date : 09/18/2015

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Directions to “SUNIL MALKANI MD PA ” Practice Location

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