Provider Demographics
NPI:1942528955
Name:MALHI, RAJA KARANBIR SINGH (MD)
Entity Type:Individual
Prefix:
First Name:RAJA
Middle Name:KARANBIR SINGH
Last Name:MALHI
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 1:4701 OGLETOWN STANTON RD STE 2200
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-7000
Mailing Address - Country:US
Mailing Address - Phone:302-623-4960
Mailing Address - Fax:302-623-4965
Practice Address - Street 1:4701 OGLETOWN STANTON RD STE 2200
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-7000
Practice Address - Country:US
Practice Address - Phone:302-623-4960
Practice Address - Fax:302-623-4965
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0012144207RH0002X, 207R00000X
PAMD454536207R00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI87040078OtherMEDICARE PTAN
NE098611186OtherMEDICARE PTAN