Provider Demographics
NPI:1922061183
Name:MALHOTRA, NEEMA B (MD)
Entity Type:Individual
Prefix:DR
First Name:NEEMA
Middle Name:B
Last Name:MALHOTRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2730 UNION AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-1431
Mailing Address - Country:US
Mailing Address - Phone:408-684-8600
Mailing Address - Fax:408-650-7417
Practice Address - Street 1:2730 UNION AVE STE B
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-1431
Practice Address - Country:US
Practice Address - Phone:408-684-8600
Practice Address - Fax:408-650-7417
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35561208000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A355610Medicaid
CAA88343Medicare UPIN