Praveen Kumar Malhotra, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

35042062M Issued in OH

Practice address

525 N Eastown Rd
Lima, OH 45807-2268

Phone

(419) 227-4472

Fax

(419) 229-9233

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Detection Imaging, LLC

  • Diagnostic Radiology Physician
  • Lima, OH
  • NPI 1972664324
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• X-Ray, Inc.

  • Vascular & Interventional Radiology Physician
  • Lima, OH
  • NPI 1417970542
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124086574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072268",
            "telephone_number": "419-227-4472",
            "fax_number": "419-229-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072268",
            "telephone_number": "419-227-4472",
            "fax_number": "419-229-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "PRAVEEN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35042062M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385382",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick M Madigan, RPH
• Steven M Magoteaux, R.PH.
• Trayton B. Mains, D.O
• Hemraj R. Makwana, MD
• Elsa K. Malcolm, M.D.
• Nelma I Malik
• Jansen C Mallari, MD
• Thomas Gerard Maloney, DO
• Maureen O'Neil Manbeck, APRN
• Geri Sue Mangas

• Legal Medicine in Lima, OH
• Providers in Lima, OH by specialty
• Legal Medicine in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.