Individual
DEEPAK MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 N TENAYA WAY STE 260, LAS VEGAS, NV 89128-0459
(702) 962-5920
Mailing address
3150 N TENAYA WAY STE 260, LAS VEGAS, NV 89128-0459
(702) 962-5920
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Q3548
TX
208600000X
Surgery Physician
A102093
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
16782
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Q3548
TX
Other
Enumeration date
01/10/2008
Last updated
10/21/2019
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