Individual
MRS. KAJAL CHIRAG MALKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
555 S 108TH ST, WEST ALLIS, WI 53214-1100
(414) 566-6400
Mailing address
20555 BARTLETT DR, BROOKFIELD, WI 53045-1720
(516) 619-6313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
05/24/2016
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