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Individual

DR. VIKRUM MALHOTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
260 W SUNRISE HWY, SUITE 200, VALLEY STREAM, NY 11581-1011
(516) 825-3600
(516) 542-5556
Mailing address
55 WATER ST, CREDENTIALING 12TH FL, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
263202
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04038157
NY
Enumeration date
06/26/2008
Last updated
11/09/2017
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