| Dr Nitin Gulshan Malhotra, MD | |
|
4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | |
| (618) 222-1020 | |
| (618) 222-1039 |
| Full Name | Dr Nitin Gulshan Malhotra |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 23 Years |
| Location | 4600 Memorial Dr Ste 120, Belleville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407007982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | NM095825 (Michigan) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 036177465 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Flint | Flint, MI | Hospital |
| Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
| Hurley Medical Center | Flint, MI | Hospital |
| Mclaren Lapeer Region | Lapeer, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular Surgery Assoc Pc | 2567443559 | 17 |
| Entity Name | Vascular Surgery Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959150 PECOS PAC ID: 2567443559 Enrollment ID: O20040526000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nitin Gulshan Malhotra, MD 5020 W Bristol Rd, Flint, MI 48507-2919 Ph: (810) 732-1620 | Dr Nitin Gulshan Malhotra, MD 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 Ph: (618) 222-1020 |
Dr. Kosit Prieb, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St, Suite 200, Belleville, IL 62220 Phone: 618-233-2500 Fax: 618-233-2520 | |
Dr. Bernard Szopa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 W Lincoln St, Suite 500, Belleville, IL 62220 Phone: 618-277-7400 Fax: 618-277-7422 | |
Dr. Abdul W Kazi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4768 | |
Dr. Hans Hassan Moosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226 Phone: 618-825-9272 Fax: 618-222-1039 | |
Evan Neville, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226 Phone: 618-222-1020 | |
Dr. Gail Elizabeth Thomas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Hickory Bnd, Belleville, IL 62223 Phone: 618-604-9926 |