Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Madhava T Pally, MD, PA

Individual provider Specialist · NPI 1821005422

Dr. Madhava T Pally, MD, PA is a Cardiovascular Disease (Cardiology) in Grundy, Virginia. Qualified in 1972, 54 years ago. Practices with Radiology Regional Center P A, a 58-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Kentucky and Virginia.

Years since qualifying
54
Licensed in
FL, KY, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1520 Slate Creek Rd Ste 205
Grundy, VA 24614-6975
Phone: (276) 935-1640
Fax: (606) 218-4697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 228 Plaza Dr, Lehigh Acres, FL 33936-6054 — (239) 303-9550
  • 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 — (606) 430-2201

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 0101263918 (VA)
Specialist Taxonomy 174400000X · Licence ME42506 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 51263 (KY)

Record details

NPI number1821005422
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PA
Sole proprietorYes
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Radiology Regional Center P A — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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