Individual
MALTI BHAMRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13606 N 59TH AVE STE 1, GLENDALE, AZ 85304-1271
(602) 889-1099
Mailing address
13606 N 59TH AVE STE 1, GLENDALE, AZ 85304-1271
(602) 978-6100
(602) 978-6555
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
010660
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
09/17/2025
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