Provider Demographics
NPI:1891566477
Name:PSYCHIATRIST ONE ON ONE
Entity type:Organization
Organization Name:PSYCHIATRIST ONE ON ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALHOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-377-1836
Mailing Address - Street 1:1401 MERCANTILE LN STE 200H
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4310
Mailing Address - Country:US
Mailing Address - Phone:301-377-1836
Mailing Address - Fax:301-281-4002
Practice Address - Street 1:1401 MERCANTILE LN STE 200H
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4310
Practice Address - Country:US
Practice Address - Phone:301-957-5451
Practice Address - Fax:301-281-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty