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Individual

DEEPAK MALHOTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 PIN OAK DRIVE, CARTERVILLE, IL 62918
(618) 985-3333
(618) 985-1318
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 457-5200
(618) 351-4821

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036084463
IL

Other

Enumeration date
03/25/2006
Last updated
02/05/2015
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