Individual
DR. SHISHUKA MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4825 HIGBEE AVE NW, SUITE 120, CANTON, OH 44718-2567
(330) 493-1247
(330) 493-1154
Mailing address
4825 HIGBEE AVE NW, SUITE 102, CANTON, OH 44718-2567
(330) 493-1118
(330) 493-1154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35079074M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2335388
—
OH
Enumeration date
07/19/2006
Last updated
04/29/2009
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