Active NPIIndividual provider

Dr. Manoj K Maloo, MD

Surgery in Philadelphia, Pennsylvania

NPI Number1558550566
Practice location
3401 N Broad St, Philadelphia, PA 19140-5103
Fax
215-707-3945
Last updated
June 9, 2025

Manoj K Maloo is a Surgery based in Philadelphia, PA. Manoj K Maloo practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Manoj K Maloo is 1558550566 and holds a License No. LT4142 (NH). The current practice location address for Manoj K Maloo is 3401 N Broad St, Philadelphia, PA 19140-5103 and can be reached out via phone at 215-707-3133 and via fax at 215-707-3945.

Provider Profile Details

NPI Number
1558550566
Provider Name
Manoj K Maloo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3401 N Broad St, Philadelphia, PA 19140-5103
Phone Number
215-707-3133
Fax Number
215-707-3945
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2007
Last Update Date
June 9, 2025
Certification Date
June 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3401 N Broad St
Philadelphia, PA 19140-5103
Zip
19140-5103
Phone Number
215-707-3133
Fax Number
215-707-3945
Philadelphia, PA 19140Get directions →

Provider Business Mailing Address Details

Address
2450 W Hunting Park Ave # 3208N
Philadelphia, PA 19129-1302
City
Philadelphia
State
PA
Zip
19129-1302
Phone Number
215-707-3911
Fax Number
215-707-3677

License Information

License Number (1)
LT4142
License State (1)
NH
Taxonomy (1)
Surgery · 208600000X
License Number (2)
20279
License State (2)
NH
Taxonomy (2)
Surgery · 208600000X
License Number (3)
MD432904
License State (3)
PA
Taxonomy (3)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Manoj K Maloo, MD?

The NPI number of Dr. Manoj K Maloo, MD is 1558550566. It was assigned on October 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Manoj K Maloo, MD?

Dr. Manoj K Maloo, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NH under license number LT4142.

Where does Dr. Manoj K Maloo, MD practice?

The practice location is 3401 N Broad St, Philadelphia, PA 19140-5103. The office can be reached at 215-707-3133 (phone) or 215-707-3945 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558550566 directly on the NPPES registry website.

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