Provider Demographics
NPI:1033304431
Name:MALHOTRA, SAURABH (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SAURABH
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 ELLICOTT ST
Mailing Address - Street 2:SUITE 7030
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1070
Mailing Address - Country:US
Mailing Address - Phone:716-829-2663
Mailing Address - Fax:
Practice Address - Street 1:875 ELLICOTT ST
Practice Address - Street 2:SUITE 7030
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1070
Practice Address - Country:US
Practice Address - Phone:716-829-2663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-09
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-145405207R00000X, 207RC0000X
NY276146207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine