Individual
SHIVANI MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12100 COUNTY LINE RD, SUITE A2, MADISON, AL 35756-2007
(256) 325-6722
(256) 325-6724
Mailing address
12100 COUNTY LINE RD, SUITE A2, MADISON, AL 35756-2007
(256) 325-6722
(256) 325-6724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L.3040R
AL
Other
Enumeration date
07/06/2009
Last updated
05/20/2014
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