Individual
MADHO MAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 14TH ST, HUNTINGTON, WV 25701-4058
(304) 886-6075
Mailing address
1130 14TH ST, HUNTINGTON, WV 25701-4058
(304) 886-6075
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2079
VA
Other
Enumeration date
08/07/2025
Last updated
10/28/2025
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