Individual
DEEPAK MALHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2995 REIDVILLE RD STE 100, SPARTANBURG, SC 29301-5600
(864) 587-3000
(864) 587-3019
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
29236
SC
207Q00000X
Family Medicine Physician
Primary
29236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292365
—
SC
01
—
SCE5736084
MEDICARE PIN
SC
Enumeration date
07/13/2006
Last updated
02/04/2021
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