Individual
DR. SANJAY MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 WAYNE RD NW, SUITE 6, HUNTSVILLE, AL 35806-3567
(256) 288-3333
(256) 288-3334
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 288-3333
(256) 288-3334
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.29375
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023292596
—
AL
05
—
1526630
—
TN
01
—
2502066
BCBS-TN
TN
01
—
515-98260
BLUE CROSS-BLUE SHIELD OF AL
AL
01
—
661895
VALUE OPTIONS
—
Enumeration date
12/20/2007
Last updated
11/29/2019
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