Individual
DR. AJAY MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HSC L4 RM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Mailing address
HSC L4 RM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232908
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
232908
NY
Other
Enumeration date
09/23/2006
Last updated
08/25/2011
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