| Krishan K Malhotra Md Inc | |
|
1902 Royaltry Dr Suite 200 Pomona CA 91767-3059 | |
| (909) 629-2290 | |
| Not Available |
| Full Name | Krishan K Malhotra Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1902 Royaltry Dr, Pomona, California |
| Authorized Official Name and Position | Krishan K Malhotra (OWNER) |
| Authorized Official Contact | 9096292290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishan K Malhotra Md Inc 1902 Royaltry Dr Suite 200 Pomona CA 91767-3059 Ph: (909) 629-2290 | Krishan K Malhotra Md Inc 1902 Royaltry Dr Suite 200 Pomona CA 91767-3059 Ph: (909) 629-2290 |
| NPI Number | 1124340120 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Medicare PECOS PAC ID | 2264576792 |
|---|---|
| Medicare Enrollment ID | O20100222000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124340120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A39832 (California) | Primary |
| Provider Name | Krishan K Malhotra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497831978 PECOS PAC ID: 0941224497 Enrollment ID: I20091217000484 |
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