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NPI Code Detail

MEDICARE: GURTEJ MALHI M.D

MEDICARE: GURTEJ MALHI M.D
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
1207RG0100XGastroenterology PhysicianA137082CA

General Provider Information

NPI Number : 1174934897
Entity Type Code : Individual
Provider Name (Legal Business Name) : GURTEJ MALHI M.D
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 782 E HARDING WAY
Second Line :
City : STOCKTON
State : CA
Zip : 95204-6101
Country : US
Telephone Number : 209-546-5200
Fax Number : 209-466-1982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2014
Last Update Date : 09/08/2023

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