Individual
DR. SHAILAJA MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13841 HULL STREET RD, SUITE 4, MIDLOTHIAN, VA 23112-2056
(804) 739-1757
(804) 739-0321
Mailing address
9460 AMBERDALE DR, SUITE A, NORTH CHESTERFIELD, VA 23236-1259
(804) 818-7041
(804) 785-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230460
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101239800
—
VA
05
—
1972572543
—
VA
01
—
C02381
MEDICARE GROUP NUMBER
—
Enumeration date
03/16/2006
Last updated
01/13/2022
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