Provider Demographics
NPI:1508220146
Name:MALHOTRA, AEKTA (MD)
Entity Type:Individual
Prefix:
First Name:AEKTA
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12801 N CENTRAL EXPY STE 1730
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1872
Mailing Address - Country:US
Mailing Address - Phone:214-506-3334
Mailing Address - Fax:785-302-9653
Practice Address - Street 1:12801 N CENTRAL EXPY STE 1730
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1872
Practice Address - Country:US
Practice Address - Phone:214-506-3334
Practice Address - Fax:785-302-9653
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-10
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS70942084P0800X
COCDR.0002328P2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry