Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KOZHAYA MALLAH, MD
ActiveDR. KOZHAYA MALLAH, MD is a Cardiovascular Disease healthcare provider located in LOGAN, West Virginia. NPI 1376717694 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · LOGAN, WV
Registration Details
- NPI Number
- 1376717694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2008 (18.342346989008 yrs)
- Last Updated
- Oct 31, 2011
- Licenses
-
25MA08297600 (NJ)24018 (WV)
Practice Information
- Address
-
20 HOSPITAL DRLOGAN, WV, 256013452Browse WV providers · Browse ZIP 25601
- Phone
- 3048311602
- Fax
- 3048311605
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in LOGAN, WV
| Name | Credential | NPI |
|---|---|---|
| JOHN T TIANO | MD | 1265517858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.