Individual
DR. MALAVIKA BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3201E, HARTFORD, CT 06105-1770
(860) 714-2724
Mailing address
1000 ASYLUM AVE, SUITE 3201E, HARTFORD, CT 06105-1770
(860) 714-2724
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
054259
CT
2085R0202X
Diagnostic Radiology Physician
274981
MA
Other
Enumeration date
06/28/2011
Last updated
09/27/2019
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