Provider Demographics
NPI:1396121695
Name:MALHOTRA, RAJINDER SINGH (MD)
Entity type:Individual
Prefix:
First Name:RAJINDER
Middle Name:SINGH
Last Name:MALHOTRA
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 1:9229 QUEENS BLVD STE 1H
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1072
Mailing Address - Country:US
Mailing Address - Phone:718-830-9000
Mailing Address - Fax:718-897-0449
Practice Address - Street 1:9229 QUEENS BLVD STE 1H
Practice Address - Street 2:SUITE 1H
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1072
Practice Address - Country:US
Practice Address - Phone:718-830-9000
Practice Address - Fax:718-897-0449
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280001208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery