Provider Demographics
NPI:1124344411
Name:GALHOTRA, SANJAY (MD)
Entity type:Individual
Prefix:
First Name:SANJAY
Middle Name:
Last Name:GALHOTRA
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 1:200 MOTOR PKWY STE C-16
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-5114
Mailing Address - Country:US
Mailing Address - Phone:631-638-4933
Mailing Address - Fax:631-638-4937
Practice Address - Street 1:200 MOTOR PKWY STE C-16
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-5114
Practice Address - Country:US
Practice Address - Phone:631-638-4933
Practice Address - Fax:631-638-4937
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264643208M00000X, 207R00000X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist