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Individual

DR. ABHA MALHOTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3803 SPRING STREET, SUITE 410, RACINE, WI 53405-1660
(262) 687-8260
(262) 687-8729
Mailing address
3803 SPRING STREET, SUITE 410, RACINE, WI 53405-1660
(262) 687-8260
(262) 687-8729

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38064
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009006261I
HUMANA
05
34154600
WI
Enumeration date
05/22/2006
Last updated
11/18/2010
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