Active NPI
Sunil Malhotra
- Internal Medicine Physician
- Southaven, MS
National Provider Identifier
1982936126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SUNIL MALHOTRA
- Practice address
- 470 Goodman Rd E
Southaven, MS 38671-9557 - Phone
- (662) 536-3330
- Fax
- (662) 536-3329
- NPI assigned
- Feb 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sunil Malhotra, M.D.
- Title
- Owner / Physician
- Phone
- (662) 536-3330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
470 Goodman Rd E
Southaven, MS 38671-9557
Mailing address
470 Goodman Rd E
Southaven, MS 38671-9557
Phone (662) 536-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117366 | Medicaid | MS |
Other names 1
- GOODMAN MEDICAL CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140610000376 | MS | Part B Supplier - Clinic/Group Practice | 9436373651 |
Receives reassigned benefits from 4 practitioners Practice locations: Southaven, MS |
National Provider Directory
National Provider Directory- Tax ID family
- Tunica Family Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Southaven, MS
- NPI 1295289650
Locations
470 Goodman Rd E
Southaven, MS 38671
Phone (662) 536-3330
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Lake Worth, FL
- NPI 1760430029
Family Medicine, MS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1982936126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719557",
"telephone_number": "662-536-3330",
"fax_number": "662-536-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719557",
"telephone_number": "662-536-3330",
"fax_number": "662-536-3329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNIL MALHOTRA",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-12",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "MALHOTRA",
"authorized_official_first_name": "SUNIL",
"authorized_official_title_or_position": "OWNER / PHYSICIAN",
"authorized_official_telephone_number": "662-536-3330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00117366",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GOODMAN MEDICAL CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.