How can we help?
Ready to take the next step
Find a Specialist
Search our Italian-speaking team by name or specialty.
Explore Services
Cardiology, ENT, internal medicine, radiology and more.
Screening & Prevention
AI heart screening and Hygieia prevention pathways.
Diagnostics
Imaging and diagnostic pathways under one roof.
Rehabilitation & Wellbeing
Physiotherapy, psychology, yoga and Pilates therapy.
Contact the Team
Speak to us — no GP referral required.
Care, delivered with humanity
A team behind every heartbeat.
Our model of care
A holistic approach, throughout your entire patient journey
M.I.A.L.'s model of care offers a patient-centred, holistic approach to personalised medicine — from prevention to rehabilitation.
Prevention
Health checks and prevention, including pre-surgical screening.
Rapid Access
Day hospital and rapid access clinic for prompt clinical review.
Diagnosis
A dedicated diagnostic centre spanning imaging and laboratory tests.
Surgery
Day-case surgical procedures across multiple specialties.
Multidisciplinary Care
A multidisciplinary clinic bringing specialists together around you.
Wellbeing & Rehabilitation
Ongoing wellbeing support and rehabilitation for lasting recovery.
Services
Looking for a single specialist?
Browse our services and consult directly with top specialists tailored to your condition.
Cardiology
Heart health, screening and management of cardiovascular conditions, led by Dr Teresa Castiello.
Learn more
Internal Medicine
Expert first-line assessment for complex or unclear conditions — no GP referral required.
Learn more
Physiotherapy & Rehabilitation
Pain management and recovery from complex chronic conditions.
Learn more
Pathways
Dedicated, multidisciplinary care pathways
Where a single appointment isn't enough, M.I.A.L.'s pathways bring specialists together around a defined pathway of care.
AI Heart Scan
Comprehensive ECG & echo screening for cardiovascular prevention, powered by AI.
Discover the pathwaySports Heart Screening
AI-powered screening to help prevent sudden cardiac death in active people.
Discover the pathwayHEAL & HEAL Plus
Lifestyle medicine for heart longevity, led by Dr Flaminia Bruno, with medically supervised weight loss.
Discover the pathwayHygieia — Screening & Prevention
Cardiovascular and family screening, lifestyle and wellbeing pathways.
Discover the pathwayOne-Stop & Rapid Access Clinic
Same-day clinical review, tests and diagnostics via a multidisciplinary team.
Discover the pathway
Our approach
MIAL Core Values: D.E.E.P-I
Data-Driven & Dedication, Excellence in Standards, Equity & Education, Personalised Precision, and Innovation in Health — five values that shape every patient journey at M.I.A.L., from AI-assisted diagnostics to the direct, human relationship with your consultant.
Learn more about M.I.A.L.Founder & Medical Director
Dr Teresa Castiello
MD, FRCP, FHFA — Consultant Cardiologist
Founder and CEO of M.I.A.L. Healthcare, Dr Castiello is a multi-award-winning Consultant Cardiologist with over 25 years of experience across Italy, the UK and humanitarian settings worldwide. She spent over a decade as a Consultant Cardiologist within the NHS, is the Immediate Past President of the Royal Society of Medicine's Cardiology Section — the first woman to hold the role — and a passionate advocate for prevention, early diagnosis, and making complex medical topics accessible to patients through television, radio and print.
More about Dr Castiello
In the media
Watch Dr Castiello in the media
Television appearances and interviews featuring M.I.A.L.'s founder, discussing heart health with a wider audience.
Meet the team
Meet our specialists
Internationally trained, NHS-affiliated consultants and therapists, many still practising within the NHS alongside their work at M.I.A.L.
Dr Teresa Castiello, MD, FHFA, MRCP, FRCP
Founder & Director, Consultant Cardiologist
A multi-award-winning Consultant Cardiologist with over 25 years of experience across Italy, the UK and humanitarian settings worldwide, specialising in heart failure, cardiomyopathy and cardiac MRI.
View profile
Mr Fabio Fanfoni
ENT Consultant
A qualified and highly experienced Consultant ENT surgeon with an NHS practice at Croydon University Hospital since 2016, with particular interests in paediatric ENT and rhinology.
View profile
Dr Luigi De Michele, MD
Internal Medicine Consultant
An expert and caring clinician with over 25 years of experience in internal medicine, elderly care and emergency medicine between Italy, the UK and developing countries.
View profile
Dr Flaminia Bruno, MD
Internal Medicine & Acute Medicine Physician — Heart Longevity Programme Lead
Acute Internal Medicine Consultant and Honorary Senior Lecturer at King's College London, leading M.I.A.L.'s Heart Longevity lifestyle-medicine programme.
View profile
Dr Valentina Buscemi, PhD
Chartered Physiotherapist
A Chartered Physiotherapist with a PhD in pain neurophysiology, dedicated exclusively to helping patients with chronic pain live full and meaningful lives.
View profile
Dr Wafik, DipRCPath
Consultant Clinical Geneticist
A Consultant Clinical Geneticist at Guy's and St Thomas' NHS Foundation Trust, specialising in inherited cardiovascular conditions, rare disease and paediatric genetics.
View profile
Dr Giulia Benedetti
Consultant Radiologist — Cardiothoracic & General Radiology
Consultant Radiologist at Guy's and St Thomas' NHS Foundation Trust with a subspecialty interest in cardio-thoracic imaging.
View profileWhy M.I.A.L.
High-level medical expertise, delivered with humanity
Multidisciplinary by design
Pre-arranged care pathways and regular multidisciplinary team meetings mean complex, interdisciplinary conditions are discussed among the most appropriate experts.
Direct specialist access
No GP referral is required — if you're unsure who to see, contact us and we'll direct you to the right specialist.
Personalised & holistic
A patient-centred, holistic approach to personalised medicine throughout your entire care journey.
Italian-speaking, London-based
M.I.A.L. — Medici Italiani a Londra — brings Italian and English-speaking specialists together in the Harley Street medical district.
Prevention & early diagnosis
From AI-powered heart screening to the Hygieia pathways, prevention is built into how M.I.A.L. works.
Self-pay & insured patients welcome
We accept self-payers and most major insurance providers.
Our locations
Harley Street medical district, London
Addresses below are being confirmed with M.I.A.L. — please treat as provisional until verified.
Cardiology
Marris Medical
75 Harley Street, LondonNational Heart Clinic
69 Harley Street, LondonOther Specialists
9 Harley Street
Harley Street medical district, London25 Harley Street
Harley Street medical district, LondonWeymouth Street Hospital
LondonFAQs
Frequently asked questions
Not a problem. If you are unsure, contact us and we will redirect you to the most appropriate specialist. No GP referral is required. Among our clinicians, we have an Internal Medicine specialist who can provide first-line assessment and further input.
A holistic and multidisciplinary approach is one of M.I.A.L.'s key values. We have pre-arranged care pathways to meet the needs of complex, interdisciplinary conditions, and multidisciplinary team meetings to discuss complex cases among the most appropriate experts.
We accept self-payers and most major insurance providers.
The conditions we treat are not all listed on the website. Please get in touch directly so we can advise you appropriately.
Ready to take the first step?
Taking the first step is the hardest part, but our team is here to help. No GP referral required.
Most major insurance providers accepted, alongside self-pay.