Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 243823 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 29007 | WV |
NPI | 1013182377 |
---|---|
Provider Name | Dr. Madhavi Kadiyala |
First Address | Morgantown, WV 26506-1200 |
Second Address | Morgantown, WV 26506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 26/06/2019 |