# SUNIL MALHOTRA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOODMAN MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982936126
- **Authorized official:** DR. SUNIL MALHOTRA M.D. (OWNER / PHYSICIAN)
- **Authorized official phone:** (662) 536-3330

## Contact information

- **Practice address:** 470 GOODMAN RD E, SOUTHAVEN, MS 38671-9557
- **Practice address phone:** (662) 536-3330
- **Practice address fax:** (662) 536-3329
- **Mailing address:** 470 GOODMAN RD E, SOUTHAVEN, MS 38671-9557
- **Mailing address phone:** (662) 536-3330
- **Mailing address fax:** (662) 536-3329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14652 | MS | — |
| 207R00000X | Internal Medicine Physician | 14796 | MS | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 80187 | MS | — |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 05/21/2026