Praveen K Malhotra MD Inc

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

PRAVEEN K MALHOTRA MD INC

Practice address

531 S Eastown Road
Lima, OH 45805

Phone

(419) 227-4472

Fax

(419) 229-9233

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Mann Aggarwal, MD

Title

Owner

Phone

(419) 227-4472

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vein Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Praveen K Malhotra MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Vein Care Center

  • Family Nurse Practitioner
  • Lima, OH
  • NPI 1235513367
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manu B Aggarwal, MD

  • Family Medicine Physician
  • Lima, OH
  • NPI 1477740157
  Medicare reassignment Care Compare group NPD
• Brittany Hemker, CNP

  • Adult Health Nurse Practitioner
  • Lima, OH
  • NPI 1932784337
  Medicare reassignment Care Compare group NPD
• Kendra K. Maag

  • Family Nurse Practitioner
  • Maumee, OH
  • NPI 1275917932
  Medicare reassignment Care Compare group NPD
• Gwynne Sorenson

  • Occupational Therapist
  • Lima, OH
  • NPI 1265048508
  Medicare reassignment Care Compare group NPD
• Morgan Karenna Rieman

  • Occupational Therapist
  • Findlay, OH
  • NPI 1881583581
  Medicare reassignment Care Compare group
• Victoria Alane Wise, CNP

  • Family Nurse Practitioner
  • Lima, OH
  • NPI 1538850888
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1801075395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S EASTOWN ROAD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45805",
            "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": "531 S EASTOWN ROAD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45805",
            "telephone_number": "419-227-4472",
            "fax_number": "419-229-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVEEN K MALHOTRA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "MANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-227-4472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2630246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vascular & Interventional Radiology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Vascular & Interventional Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.