Individual
BHARAT MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4644
(601) 200-4645
Mailing address
151 SOTOYOME ST STE S-110, SANTA ROSA, CA 95405-4803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23920
MS
207R00000X
Internal Medicine Physician
9407931
KS
208M00000X
Hospitalist Physician
Primary
23920
MS
208M00000X
Hospitalist Physician
C187133
CA
208M00000X
Hospitalist Physician
MD.50353
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04188248
—
MS
05
—
195519
—
AL
01
—
P01679811
RAILROAD MEDICARE
MS
Enumeration date
07/17/2012
Last updated
09/25/2025
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