Basic Information
| Provider Information | |||||||||
| NPI: | 1841422979 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MALEKAR | ||||||||
| FirstName: | SHILPA | ||||||||
| MiddleName: | ARUN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 781076 | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482781076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175284800 | ||||||||
| FaxNumber: | 3178658317 | ||||||||
| Practice Location | |||||||||
| Address1: | 761 45TH ST STE 123 | ||||||||
| Address2: | |||||||||
| City: | MUNSTER | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463212899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2199242500 | ||||||||
| FaxNumber: | 2199242502 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2009 | ||||||||
| LastUpdateDate: | 09/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 125 053934 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 01069578A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.