Individual provider · Type 1 NPI
Kozhaya Mallah, MD
Cardiovascular Disease Physician · Logan, WV
NPI number
1376717694
Active
Practice location
20 Hospital Dr
Logan, WV 25601-3452
Fax (304) 831-1605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08297600 (NJ) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 24018 (WV) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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About NPI 1376717694
Kozhaya Mallah, MD's National Provider Identifier is 1376717694, issued on Apr 17, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Logan, WV. The record was last updated on Oct 31, 2011.