Individual
DR. KOZHAYA MALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1602
(304) 831-1605
Mailing address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1602
(304) 831-1605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08297600
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
24018
WV
Other
Enumeration date
04/17/2008
Last updated
10/31/2011
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