Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | Q3548 | TX |
N | 208200000X | Surgeon | A102093 | CA |
N | 208600000X | Surgeon | A102093 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 16782 | NV |
N | 208G00000X | Cardiothoracic Vascular Surgeon | Q3548 | TX |
NPI | 1073799987 |
---|---|
Provider Name | Deepak Malhotra |
First Address | Las Vegas, NV 89128-0459 |
Second Address | Las Vegas, NV 89128-0459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 21/10/2019 |