Provider Demographics
NPI:1881675510
Name:MALHI, HARSHAWN SINGH (MD)
Entity Type:Individual
Prefix:
First Name:HARSHAWN
Middle Name:SINGH
Last Name:MALHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9998 CROSSPOINT BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3307
Mailing Address - Country:US
Mailing Address - Phone:317-579-2150
Mailing Address - Fax:317-489-6750
Practice Address - Street 1:1950 DRACENA DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-3107
Practice Address - Country:US
Practice Address - Phone:317-579-2150
Practice Address - Fax:317-489-6750
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA984222085B0100X
IN01086327A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000Medicare UPIN