Provider Demographics
NPI:1255382990
Name:MALHOTRA, SALIL (DC, FNP-C)
Entity type:Individual
Prefix:DR
First Name:SALIL
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:M
Credentials:DC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850A TOWN CENTER PKWY
Mailing Address - Street 2:STE 209
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3232
Mailing Address - Country:US
Mailing Address - Phone:703-957-0093
Mailing Address - Fax:
Practice Address - Street 1:888 N QUINCY ST
Practice Address - Street 2:UNIT 1206
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-2070
Practice Address - Country:US
Practice Address - Phone:703-957-0093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556467111N00000X
VA0024173222363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor