Individual
DR. AMIT MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
391 SOUTHCREST CIR, SUITE 200, SOUTHAVEN, MS 38671-6730
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36555
TN
207RI0011X
Interventional Cardiology Physician
Primary
19492
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000379332
RAIL ROAD MEDICARE
TN
05
—
03907881
—
MS
01
—
06120013401
QUALCHOICE
—
01
—
27550
TLC
TN
05
—
3892297
—
TN
01
—
4146200
BCBS
TN
01
—
7019599
AETNA
TN
01
—
84389
BCBS
AR
01
—
P00372262
RAIL ROAD MEDICARE
MS
Enumeration date
05/09/2006
Last updated
06/12/2025
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