Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 0102201932 | VA |
NPI | 1023226743 |
---|---|
Provider Name | Rajiv Malhotra |
First Address | Richmond, VA 23298-0257 |
Second Address | Richmond, VA 23225-4017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 05/08/2019 |