Organization Active NPI

Ravindra K Malhotra M.D Inc

  • Specialist
  • Mansfield, OH
National Provider Identifier
1851517445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35069218M Issued in OH
Legal business name
RAVINDRA K MALHOTRA M.D INC
Practice address
1070 Cricket LN
Mansfield, OH 44906-4104
Phone
(419) 522-2031
Fax
(419) 522-2308
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ravindra K Malhotra, M.D
Title
Owner
Phone
(419) 522-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 35069218M OH Primary

Addresses

Primary practice location

1070 Cricket LN
Mansfield, OH 44906-4104

Mailing address

1070 Cricket LN
Mansfield, OH 44906-4104
Phone (419) 522-2031

Other identifiers 1

IdentifierTypeStateIssuer
0188952MedicaidOH

Other names 1

  • Ravindra K Malhotra M.D Doing business as

National Provider Directory

National Provider Directory

Locations

1070 Cricket Ln
Mansfield, OH 44906
Phone (419) 522-2031

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851517445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 CRICKET LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064104",
            "telephone_number": "419-522-2031",
            "fax_number": "419-522-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CRICKET LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064104",
            "telephone_number": "419-522-2031",
            "fax_number": "419-522-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDRA K MALHOTRA M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-522-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35069218M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravindra K Malhotra M.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.