Organization
CYRUS J. MALI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRUS J. MALI (PRESIDENT)
(304) 342-2890
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 500, CHARLESTON, WV 25304-1223
(304) 342-0703
(304) 342-2890
Mailing address
3100 MACCORKLE AVE SE, SUITE 500, CHARLESTON, WV 25304-1223
(304) 342-0703
(304) 342-2890
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
10754
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130951000
—
WV
Enumeration date
10/06/2008
Last updated
10/06/2008
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