Individual
GAUTAM MALKANI
Active
Individual
GAUTAM MALKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26579
AL
2080P0203X
Pediatric Critical Care Medicine Physician
26579
AL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
M8155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932429
—
AL
05
—
02588701
—
MS
05
—
197703502
—
TX
01
—
51529983
BLUE CROSS
AL
01
—
7600062
UNITED HEALTH CARE
AL
01
—
P00765175
RAILROAD MEDICARE
TX
Enumeration date
05/20/2006
Last updated
05/23/2024
Update your record
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