Individual
MALLINATH KAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 EAST RIDGE ROAD, CHARLESTON, WV 25314
(304) 345-1501
(304) 345-1501
Mailing address
130 EAST RIDGE ROAD, CHARLESTON, WV 25314
(304) 345-1501
(304) 345-1501
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13920
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084286000
—
WV
Enumeration date
01/17/2007
Last updated
09/28/2023
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