Individual
DR. RAJESH MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17001 E LARKSPUR LN, APT # 3, INDEPENDENCE, MO 64055-2108
(405) 808-0836
(405) 808-0836
Mailing address
17001 E LARKSPUR LN, APT # 3, INDEPENDENCE, MO 64055-2108
(405) 808-0836
(405) 808-0836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47349
MN
207RN0300X
Nephrology Physician
Primary
21122
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005370B
—
OK
Enumeration date
05/17/2006
Last updated
07/16/2013
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