Provider Demographics
NPI:1275560427
Name:MALHI, BALWINDER S (MD)
Entity Type:Individual
Prefix:MR
First Name:BALWINDER
Middle Name:S
Last Name:MALHI
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 1:901 PLUMAS STREET
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4012
Mailing Address - Country:US
Mailing Address - Phone:530-674-2800
Mailing Address - Fax:530-674-2660
Practice Address - Street 1:901 PLUMAS STREET
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991
Practice Address - Country:US
Practice Address - Phone:530-674-2800
Practice Address - Fax:530-674-2660
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA47757207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A477571Medicaid
00A477570Medicare ID - Type Unspecified
CAF13201Medicare UPIN
CABE316ZMedicare PIN
F13201Medicare UPIN