Individual
DR. GOPAL MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MCH, FRCS
Contact information
Practice address
16001 W 9 MILE RD FL 3, PROVIDENCE HOSPITAL, SOUTHFIELD, MI 48075-4818
(248) 849-5801
Mailing address
16001 W 9 MILE RD FL 3, PROVIDENCE HOSPITAL, SOUTHFIELD, MI 48075-4818
(248) 849-5801
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301089907
MI
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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