IndividualActive
Kozhaya Mallah, MD
NPI 1376717694 · Cardiovascular Disease Physician · Logan, WV
Provider details
- NPI number
- 1376717694
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08297600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
20 Hospital Dr
Logan, WV 25601-3452
Phone: (304) 831-1602
Fax: (304) 831-1605
Approximate (ZIP-level) locationGet directions
Mailing address
20 Hospital Dr
Logan, WV 25601-3452
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2011-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.