Provider Demographics
NPI:1245762566
Name:MALHOTRA, KANCHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KANCHAN
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:981 STATE HIGHWAY 121
Mailing Address - Street 2:SUITE 3150
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:972-798-8553
Mailing Address - Fax:972-798-8556
Practice Address - Street 1:981 STATE HIGHWAY 121
Practice Address - Street 2:SUITE 3150
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:972-798-8553
Practice Address - Fax:972-798-8556
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT4421207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty