Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 20A18366 | CA |
N | 207QS0010X | Family Doctor - Sports Medicine | 20A18366 | CA |
NPI | 1093177271 |
---|---|
Provider Name | Harmeet Singh Malhi |
First Address | Sacramento, CA 95865-5228 |
Second Address | Vallejo, CA 94589-2582 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 22/03/2021 |