Individual
SUSHIL K MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 W KING ST STE B, OWOSOO, MI 48867
(989) 725-9555
Mailing address
802 W KING ST STE B, OWOSOO, MI 48867
(989) 725-9555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SM0404346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001336
MCLAREN
MI
01
—
1200037
PHP
MI
01
—
1270037
PHP/FC
MI
05
—
1820665
—
MI
01
—
3507800292
HEALTHPLUS
MI
01
—
3507810331
BCN
MI
Enumeration date
10/03/2006
Last updated
07/09/2007
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