Organization
PRAVEEN K MALHOTRA MD INC
Active
Other names
Vein Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MANN AGGARWAL MD (OWNER)
(419) 227-4472
Entity
Organization
Contact information
Practice address
531 S EASTOWN ROAD, LIMA, OH 45805
(419) 227-4472
(419) 229-9233
Mailing address
531 S EASTOWN ROAD, LIMA, OH 45805
(419) 227-4472
(419) 229-9233
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2630246
—
OH
Enumeration date
10/31/2007
Last updated
10/02/2014
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