Provider Demographics
NPI:1336477827
Name:MALHOTRA, SHVETA (MASTERS)
Entity Type:Individual
Prefix:MS
First Name:SHVETA
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 WARYAM NAGAR
Mailing Address - Street 2:
Mailing Address - City:JALANDHAR
Mailing Address - State:PUNJAB
Mailing Address - Zip Code:144001
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8943 SPRINGHURST DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-3243
Practice Address - Country:US
Practice Address - Phone:916-667-5360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012808225100000X
CA362512251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist