Goodman Medical Clinic
LBN: Sunil Malhotra
Goodman Medical Clinic is an health care organization with primary practice located at 470 Goodman Rd E , Southaven MS 38671-9557. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Sunil Malhotra can be contacted via phone (662) 536-3330, or through Malhotra, Sunil via phone (662) 536-3330.
Contact Information
Primary practice address
470 Goodman Rd E
Southaven MS 38671-9557
Phone: (662) 536-3330
Fax: (662) 536-3329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14652 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14796 | Mississippi |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 80187 | Mississippi |
Profile Details
| NPI number | 1982936126 |
|---|---|
| LBN Legal business name | Sunil Malhotra |
| DBA Doing business as | Goodman Medical Clinic |
| Authorized official | Malhotra, Sunil Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Jun 9th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982936126 | NPPES |
| Mississippi | MEDICAID | 00117366 |
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