person
Ashok R Mallya, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Saint Louis, Missouri
NPI 1104873116

Ashok R Mallya is an Addiction Medicine (Psychiatry & Neurology) Physician based in Saint Louis, MO and is specialized in Addiction Medicine. Ashok R Mallya practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Ashok R Mallya is 1104873116 and holds a License No. R6991 (Missouri).

The current practice location address for Ashok R Mallya is 915 N Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-652-4100.

Location: 915 N Grand Blvd, Saint Louis, MO, 63131-3019
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Provider Profile Details
NPI Number
1104873116
Provider Name
Ashok R Mallya
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
915 N Grand Blvd, Saint Louis, MO, 63131-3019
Phone Number
314-652-4100
Fax Number
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
915 N Grand Blvd
City
State
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider Business Mailing Address Details
Address
915 N Grand Blvd
City
State
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
License No.
R6991 (Missouri)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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