Provider Demographics
NPI:1629381819
Name:MALHOTRA, AKSHIV (MD)
Entity Type:Individual
Prefix:DR
First Name:AKSHIV
Middle Name:
Last Name:MALHOTRA
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 1:3100 SAN PABLO AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-2498
Mailing Address - Country:US
Mailing Address - Phone:415-476-3360
Mailing Address - Fax:510-985-5202
Practice Address - Street 1:3100 SAN PABLO AVE STE 430
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-2498
Practice Address - Country:US
Practice Address - Phone:415-476-3360
Practice Address - Fax:510-985-5202
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA142648193200000X, 207RH0003X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No193200000XGroupMulti-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty