Provider Demographics
NPI:1548349772
Name:MALHAN, SAMEENA (MD)
Entity type:Individual
Prefix:
First Name:SAMEENA
Middle Name:
Last Name:MALHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18766 JOHN J WILLIAMS HWY
Mailing Address - Street 2:SUITE 4, # 331
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-4417
Mailing Address - Country:US
Mailing Address - Phone:302-381-8880
Mailing Address - Fax:
Practice Address - Street 1:21 W CLARKE AVE
Practice Address - Street 2:C/O REHAB DEPT
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1840
Practice Address - Country:US
Practice Address - Phone:302-381-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10009762208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCH11791Medicare UPIN