Individual
DR. VIVEK MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 N COLLEGE AVE # SLOT100, FAYETTEVILLE, AR 72703-1908
(479) 713-8700
(479) 714-8670
Mailing address
147 TOP FOREST DR, COLUMBIA, SC 29209-2599
(803) 760-8034
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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