Dr Sanjay Malhotra, | |
130 Division St, Derby, CT 06418-1326 | |
(203) 732-7325 | |
(203) 732-1539 |
Full Name | Dr Sanjay Malhotra |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497946339 | NPI | - | NPPES |
045780 | Other | CT | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 045780 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
---|---|
Dr Sanjay Malhotra, 20 York Street, Cb-2041, New Haven, CT 06510-3220 Ph: (203) 688-1734 | Dr Sanjay Malhotra, 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7325 |
Genevieve Cecile Kela, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327 | |
Dr. Gerald George Fette, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Howard Quentzel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425 | |
Dr. Mukesh Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Earl Lewin Baker, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-735-7421 | |
Aartee Deshpande, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 | |
Mark S Grogan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Division Street, Derby, CT 06418 Phone: 203-732-7455 Fax: 203-735-5507 |