Provider Demographics
NPI:1124349949
Name:MALHA, LINE (MD)
Entity type:Individual
Prefix:
First Name:LINE
Middle Name:
Last Name:MALHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:424 E 70TH ST
Mailing Address - Street 2:WEILL CORNELL MEDICINE- HYPERTENSION CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5326
Mailing Address - Country:US
Mailing Address - Phone:646-962-2605
Mailing Address - Fax:646-962-0153
Practice Address - Street 1:424 E 70TH ST
Practice Address - Street 2:WEILL CORNELL MEDICINE- HYPERTENSION CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5326
Practice Address - Country:US
Practice Address - Phone:646-962-2605
Practice Address - Fax:646-962-0153
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY9294395207RN0300X
NYP87424390200000X
NY283526390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology