Provider Demographics
NPI:1063444107
Name:MALKANI, ARTHUR LALIT/LAXMAN (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:LALIT/LAXMAN
Last Name:MALKANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:502-587-8222
Mailing Address - Fax:502-587-0860
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-587-8222
Practice Address - Fax:502-587-0860
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30060207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2435086000OtherPASSPORT ADVANTAGE / R G SHEA
KY200027859OtherRAILROAD MEDICARE / R G SHEA
KY1049639OtherPASSPORT / UNIV ORTHO ASS
KY4340036OtherAETNA / R G SHEA
KY200044556OtherRAILROAD MEDICARE
KY1073471OtherPASSPORT / R G SHEA
KY2432615000OtherPASSPORT ADV/UNIV ORTHO A
KY000000048042OtherANTHEM / R G SHEA
KY000000049345OtherANTHEM / UNIV ORTHO ASSOC
KY0766132OtherMEDICARE-UNSPECIFIED TYPE
IN100370310Medicaid
KY64300601Medicaid
KY200027859OtherRAILROAD MEDICARE / R G SHEA
KY0605903Medicare PIN
KY000000049345OtherANTHEM / UNIV ORTHO ASSOC
KY00546206Medicare Oscar/Certification
KYP00693359Medicare PIN