Individual
MADHURA MYLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PLEASANT VALLEY RD STE 202, OWENSBORO, KY 42303-9774
(270) 417-7500
(270) 417-7509
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
58933
KY
207RI0011X
Interventional Cardiology Physician
44455
AL
390200000X
Student in an Organized Health Care Education/Training Program
RS2016-0506
NM
Other
Enumeration date
07/11/2016
Last updated
02/13/2025
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