Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 273568 | NY |
N | 2081P2900X | Pain Medicine | D0077894 | MD |
NPI | 1114151347 |
---|---|
Provider Name | Dr. Rudy Mathew Malayil |
First Address | Barboursville, WV 25504-4190 |
Second Address | Huntington, WV 25702-1454 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 22/04/2021 |