| NPI | 1407742265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINDER MALHOTRA Owner/Provider 740-821-4576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |