Individual
MALHAR S GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3419 16TH AVE SW STE 100, CEDAR RAPIDS, IA 52404-2335
(319) 206-9561
(319) 423-7978
Mailing address
PO BOX 746870, ATLANTA, GA 30374-6870
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.29054
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18932
BCBS
IA
05
—
4072074
—
IA
Enumeration date
12/15/2006
Last updated
09/25/2025
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