Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P25281 | MD |
N | 111NI0900X | Internist | P25281 | MD |
Y | 207RG0300X | Geriatric Medicine | R6236 | TX |
NPI | 1083927271 |
---|---|
Provider Name | Keya Malhotra |
First Address | Lubbock, TX 79407-2520 |
Second Address | Lubbock, TX 79407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2010 |
Last Update Date | 01/12/2021 |